Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria, and implementation of changes. The main steps of audit cycle are: (a) Choose subject for audit and criteria for selecting this topic—topic will be given in exam. (b) Identify aim and audit standards—aim is to see whether department is following the protocol or not. (c) Inform audit department. (d) Selection of team involved in the audit-lead clinician, other clinicians, registrar and SHO. (e) What data to be collected?—Absolute minimum data ensuring patient confidentiality. (f) From where data to be collected and how?—Antenatal or labour or admission record sheet, etc. (g) Analysis of data—who will do analysis and how? (h) Audit results to be provided as feedback to the department. (i) New changes made and their implementation. (j) Re audit—at an appropriate time to check the changes have been made (process audit) and outcomes are improved (outcome audit). If protocol is changed, a second audit may not be comparable.