Clinical audit may 2011 nes pharmacy


Published on

Clinical Audit
NES Pharmacy
May 2011

Published in: Education
1 Like
  • Be the first to comment

No Downloads
Total Views
On Slideshare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Clinical audit may 2011 nes pharmacy

  1. 1. Clinical Audit NHS GG&C Community Pharmacy Clinical Governance Audit Facilitator Team November 2010
  2. 2. Programme <ul><li>Objectives </li></ul><ul><li>Definitions </li></ul><ul><li>Why audit? </li></ul><ul><li>Process </li></ul><ul><li>Examples </li></ul><ul><li>Future direction </li></ul><ul><li>Questions </li></ul>
  3. 3. Objectives <ul><li>Define the term audit </li></ul><ul><li>Describe the audit cycle </li></ul><ul><li>Explain the difference between audit and research </li></ul><ul><li>Define appropriate criteria & standards for a criterion audit </li></ul><ul><li>Awareness of how completion of the NES criterion audit can contribute to CPD </li></ul>
  4. 4. Audit definition: National Institute for Clinical Excellence (NICE) <ul><li>Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Aspects of the structure, processes, and outcomes of care are selected and systematically evaluated against explicit criteria. Where indicated, changes are implemented at an individual, team, or service level and further monitoring is used to confirm improvement in healthcare delivery. </li></ul>
  5. 5. Audit versus Research <ul><li>Audit seeks to determine that we are doing what we should be doing </li></ul><ul><li>Research seeks to determine the right thing to do </li></ul>
  6. 6. Why do audit? <ul><li>Educational </li></ul><ul><li>Improve practice </li></ul><ul><li>Improve patient care </li></ul><ul><li>Gain NES hours (NES criterion audit ) </li></ul><ul><li>Demonstrate CPD </li></ul><ul><li>Build teamwork </li></ul><ul><li>Quality improvement culture </li></ul>
  7. 7. Audit cycle define criteria/standards implement change measure practice compare with criteria/standards
  8. 8. Audit spiral define criteria/standard assess local practice compare practice with criteria/standard reaudit repeat audit
  9. 9. Getting started : choosing a topic <ul><li>National priority </li></ul><ul><li>Evidence base </li></ul><ul><li>Common theme – compliance aids </li></ul><ul><li>High risk – methotrexate </li></ul><ul><li>Change in practice – new development/evidence </li></ul><ul><li>Clinical concern/problems – risk of ADRs, interactions </li></ul><ul><li>Potential for change </li></ul><ul><li>High cost </li></ul>
  10. 10. Getting Started….. <ul><li>Who to involve </li></ul><ul><li>… .get everyone on board from the start </li></ul><ul><li>Ethical Approval </li></ul><ul><li>… .may be required…….ASK </li></ul>
  11. 11. Definitions <ul><li>Structure : - refers to the input of care such as manpower, premises and facilities </li></ul><ul><li>Process : - refers to the provision of care (looking at what is done and how it is done) </li></ul><ul><li>Outcome : - refers to the result of clinical intervention </li></ul>
  12. 12. Definitions - criteria & standards   <ul><li>A Criterion is an item of care or some aspect of care that can be used to assess quality. It is written as a statement </li></ul><ul><li>A Standard describes the level of care to be achieved for any particular criteria </li></ul>
  13. 13. Preparation and Planning <ul><li>Describes how the audit was </li></ul><ul><li>prepared </li></ul><ul><li>Planned </li></ul><ul><li>Who helped </li></ul><ul><li>Who you discussed it with etc. </li></ul>
  14. 14. Data Collection <ul><li>Identify what data needs to be collected </li></ul><ul><li>How and in what form </li></ul><ul><li>Who is going to collect it </li></ul><ul><li>Only collect essential information </li></ul>
  15. 15. Process <ul><li>Assess performance v criteria and standards </li></ul><ul><li>Analyse data </li></ul><ul><li>Identify and describe changes </li></ul><ul><li>Identify best format to present findings </li></ul><ul><li>Prepare executive summary </li></ul><ul><li>Add to CPD record </li></ul><ul><li>Identify target audience to share </li></ul>
  16. 16. Hot tips <ul><li>Don’t make ambiguous statements </li></ul><ul><li>Keep the task focused on the audit project </li></ul><ul><li>Refer to the literature indicating current practice </li></ul><ul><li>Choose criteria & standards in line with current practice </li></ul><ul><li>Ensure criteria and standards are based on fact </li></ul><ul><li>Involve the whole team </li></ul>
  17. 17. Examples of some projects <ul><li>Fridge audit </li></ul><ul><li>Controlled drug prescription audit </li></ul><ul><li>Osteoporotic treatment </li></ul><ul><li>Sun safety awareness </li></ul><ul><li>Oxygen audit </li></ul><ul><li>Balance audits </li></ul><ul><li>Aspirin and clopidogrel </li></ul>
  18. 18. Future direction - Useful links <ul><li> </li></ul><ul><li> </li></ul><ul><li> </li></ul><ul><li>Projects </li></ul><ul><li>Conferences </li></ul><ul><li>Publications </li></ul>
  19. 19. And finally…….any questions ?
  1. A particular slide catching your eye?

    Clipping is a handy way to collect important slides you want to go back to later.