Audit has become an essential part of medical practice. The main purpose is to improve quality of care which, in the intensive care unit, must involve all members of the multidisciplinary team. Change in practice in one discipline will inevitably have a knock-on effect in others. Audit may involve a review of activity, performance against predetermined indicators or cost-effectiveness. Audit may focus on specific topics or may encompass the performance of several intensive care units. Successful audit requires commitment from senior staff to ensure practice is defined, data are collected and change is effected where necessary. Where change is suggested by audit a further review is required to ensure that such change has occurred.

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