Europe’s beating cancer plan : CLAUD-IT : clinical audit implementation in Europe : a practical and multidisciplinary approach.
Date: 2025-02-10
Institutions: Directorate-General for Health and Food Safety
Subjects: European Union, audit, cancer, health care, medical diagnosis, medical institution, nuclear medicine, patient

CLAUD-IT  – Clinical Audit Implementation in Europe - a practical 
and multidisciplinary approach 

CLAUD-IT brings together hospitals, authorities and professional societies to develop clinical audit 
guidelines and methodology, leading to improved healthcare and patient care across the EU

Start date – end date 
01/09/2024 to 31/08/2027

Countries
Austria,  Germany,  
Italy,  Spain, 
Slovenia, Bulgaria, Croatia, 
Romania, Greece, Cyprus 

Overall budget
EUR 981 055 18

EU contribution under  
EU4Health programme
EUR 784 844 15

There is strong scientific evidence 
that clinical audit is a key 
component in improving the quality 
and safety of medical imaging. 
Under the European Basic Safety 
Standards Directive, 2013/59/
Euratom, all EU countries are 
legally required to conduct clinical 
audits “in accordance with national 
procedures”. Despite this, clinical 
audits are still under-implemented 
in most EU Member States.

The CLAUD-IT project supports EU 
Member States in implementing 
clinical audits in radiology and 
nuclear medicine to improve the 
quality and safety of healthcare. 

It will pilot clinical audits in 9 EU 
Member States, starting with 11 
hospitals and then expanding to 
a further 3-6 institutions in each 
participating country. 

The project, supported by the 
European Society of Radiology 
and the European Society of 
Nuclear Medicine, will use a phased 
approach and will train over 250 
professionals through a train-the-
trainer model to ensure further 
implementation of clinical audit in 
Europe. 

CLAUD-IT will also develop nuclear 
medicine guidelines and expand 
existing radiology guidelines 
based on the European Society 
of Radiology’s ESPERANTO for 
Radiology. 

All materials will be made available 
through an online repository, 
providing an open access one-stop-
shop for clinical audit resources in 
radiology and nuclear medicine

Cancer PlanEurope’s Beating Cancer PlanFebruary 2025#EUCancerPlan #HealthUnion•  Building on experience: CLAUD-IT builds on the results 

of the QuADRANT and EU-JUST-CT projects, as well 
as resources developed by the European Society of 
Radiology and the European Association of Nuclear 
Medicine, with the ultimate aim of further improving 
the justification and optimisation, and thus the overall 
quality and safety, of radiology and nuclear medicine 
procedures.

• An Implementation board will plan the wider roll-out 
and support of clinical audit campaigns and to ensure 
that clinical audit is embedded as a core element of the 
wider healthcare system.

•  Clinical audit in radiology will be based on 

ESPERANTO, the ESR’s guide to clinical audit in 

radiology. CLAUD-IT will develop a updated 4th version 
of this guide. The project will also develop a specific 1st 
version of ESPERANTO for nuclear medicine CLAUD-IT 
will develop a training programme for auditors as well 
as supporting documents and guidelines. All materials 
be made available through an open access one-stop-
shop for information and resources related to clinical 
audit in radiology and nuclear medicine. 

•  The project will support Member States in the 

implementation of clinical audit. CLAUD-IT will pilot 
audit campaigns in radiology and nuclear medicine in 9 
EU Member States (Bulgaria, Croatia, Cyprus, Germany, 
Greece, Italy, Romania, Slovenia and Spain) to promote 
implementation in clinical routine. 

Clinical audits will be carried out in 
two rounds during the project: 

1

2

In the first round, the 11 hospitals that are 
members of the consortium will conduct 
clinical audits in radiology and nuclear 
medicine, using 3 selected templates 
per specialty and following the common 
methodology developed in the project, 
adapted to their local settings, with the 
support of 2 external experts (one for 
each specialty). 

After analysing the feedback and 
considering the lessons learned, a second 
round of audits will be organised in a 
further 3-6 hospitals per participating 
country, recruited with the support of the 
Implementation Board and supported by 
two experts each from the local audit 
teams of the first round of audits.

For more info

Contact details

Agnieszka Skwara-Eggenbauer
European Institute for 
Biomedical Imaging (EIBIR)
askwara@eibir.org
office@eibir.org 
+43-1-533-4064-19

Project website

https://www.eibir.org/
projects/claud-it/

Social media handles

Linkedin

CLAUD-IT: Overview | LinkedIn

X tags:  
@EIBIR_biomed, 

Hashtags: #CLAUDIT, 
#ClinicalAudit

© European Union, 2025Reuse of this document is allowed, provided appropriate credit is given and any changes are indicated (Creative Commons Attribution 4.0 International license). For any use or reproduction of elements that are not owned by the EU, permission may need to be sought directly from the respective right holders. All images © European Union, unless otherwise stated.Luxembourg: Publications Office of the European Union, 2025PDF ISBN 978-92-68-24079-3 doi:10.2875/7366204 EW-01-25-008-EN-N