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Clinical Audit
This document discusses clinical audits, including definitions, history, types of audits, and the audit cycle. It defines a clinical audit as a quality improvement process that systematically reviews care against criteria to implement changes. The first known clinical audit was conducted by Florence Nightingale during the Crimean War. Key points made include that audits seek to improve patient care and outcomes, while research examines whether the right processes are being followed. The document also provides a case study example of "The Great Coffee Audit" to illustrate how an audit was conducted to address doctors' dissatisfaction with the temperature of their coffee.
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Clinical Audit
- 1. Ali Mahdi Clinical Audit Dr AliMahdi Dr Ghadaq Enad Dr Rema Elshein
- 2. Ali Mahdi Objectives Definition andHistory01 Audit VS Research02 Types of Audits03 Case Study05 Audit Cycle04
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- 4. Ali Mahdi Definition A qualityimprovement process that seeks to improve patient care and outcomes thorough systematic review of care, against explicit criteria and the implementation of change.
- 5. Ali Mahdi Definition That isto say the performance is being reviewed (audited) to make sure that what should be done is being done. And if not, it provides a framework for improvements to be made. Clinical audit has been incorporated as an essential part of the clinical governance in many countries worldwide. It was first done in the UK by Stephen Bolsen In 1989.Royal Infirmary
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- 7. Ali Mahdi WHY? Clinical auditinghas many advantages and benefits to the organization: To improve patient care and service quality. To master problem-solving/leadership. To improve team working and communication/career progress. 1 2 3
- 8. Ali Mahdi A littlebit of history One of first ever clinical audits was undertaken by Florence Nightingale during the Crimean War of 1853-1855. She and her team of 38 nurses applied strict sanitary routines and standards of hygiene to the hospital and equipment. Kept meticulous records of the mortality rates among the hospital patients. Following these changes the mortality rates fell from 40% to 2%.
- 9. Ali Mahdi A littlebit of history Stephen Bolsin is a British anesthetist at the Bristol Royal Infirmary. In 1989, Bolsin identified that too many babies were dying during heart surgery. He spent the next six years confirming the high mortality rates and attempting to improve the service. This led to a fall in mortality rates for children's heart surgery in Bristol from 30% to less than 5%.
- 10. Ali Mahdi Audit VersusResearch
- 11. Ali Mahdi Audit VersusResearch
- 12. Ali Mahdi Audit VersusResearch A question here, is clinical audit a research?
- 13. Ali Mahdi Audit VersusResearch The difference is simply Research asks: Are we singing the right song? Clinical Audit asks: Are we singing this song right?
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- 15. Ali Mahdi Types ofAudit
- 16. Ali Mahdi Types ofAudits Personal
- 17. Ali Mahdi Types ofAudits Local Personal
- 18. Ali Mahdi Types ofAudits National Local Personal
- 19. Ali Mahdi The AuditCycle
- 20. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce
- 21. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce
- 22. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce
- 23. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce Compare to Standards
- 24. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce Compare to Standards
- 25. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce Compare to Standards
- 26. Ali Mahdi The AuditCycle Problem or Objective Identified Audit Cyce Closed Audit Open Audit Compare to Standards
- 27. Ali Mahdi Objective Identified TheAudit Cycle.... Explained - Agree topic - Initiation or Continuation - Contact audit team
- 28. Ali Mahdi Objective Identified Standards -Source of Standards - Appraising the standards - Agree topic - Initiation or Continuation - Contact audit team The Audit Cycle.... Explained
- 29. Ali Mahdi Objective Identified Standards -Source of Standards - Appraising the standards Data Collection - Agree topic - Initiation or Continuation - Contact audit team - Planning data collection - Methods of data collection - Data handling The Audit Cycle.... Explained
- 30. Ali Mahdi Objective Identified Standards -Source of Standards - Appraising the standards Data Collection Compare to standards - Agree topic - Initiation or Continuation - Contact audit team - Planning data collection - Methods of data collection - Data handling - Devise a spreadsheet - Careful analysis - double and triple check The Audit Cycle.... Explained
- 31. Ali Mahdi Objective Identified Standards -Source of Standards - Appraising the standards Data Collection Compare to standards - Agree topic - Initiation or Continuation - Contact audit team - Planning data collection - Methods of data collection - Data handling - Devise a spreadsheet - Careful analysis - double and triple check - Understand the results - Understand any issue - Build an achievable plan - Sell your plan to team Plan & Implement Changes The Audit Cycle.... Explained
- 32. Ali Mahdi The greatcoffee audit (Case Study)
- 33. Ali Mahdi The greatcoffee audit (Case Study) Objective Identified The doctors feel that their coffee isn’t hot enough after slogging through morning surgery
- 34. Ali Mahdi The greatcoffee audit (Case Study) Objective Identified The doctors feel that their coffee isn’t hot enough after slogging through morning surgery Standards The coffee shall be served at a temperature of 85 90°C on 80% of occasions and there will be 90% satisfaction level expressed by the docs
- 35. Ali Mahdi The greatcoffee audit (Case Study) Objective Identified The doctors feel that their coffee isn’t hot enough after slogging through morning surgery Standards The coffee shall be served at a temperature of 85 90°C on 80% of occasions and there will be 90% satisfaction level expressed by the docs Data Collection The junior receptionist shall check the temperature of the coffee daily for two weeks and circulate a questionnaire to the partners asking them to score a coffee satisfaction level between 1 and 10. The practice manager shall visit Tesco’s and interview the manager about the availability, costs, quality and sell-by dates of the coffee brands available
- 36. Ali Mahdi The greatcoffee audit (Case Study) Objective Identified The doctors feel that their coffee isn’t hot enough after slogging through morning surgery Compare to standards it was found that the coffee temperature fell below 37°C on at least 33% of occasions and reached the standard on only 10% of occasions. The doctors scored the coffee at an average 3/10. The practice manager reported the results of her Tesco’s visit. Standards The coffee shall be served at a temperature of 85 90°C on 80% of occasions and there will be 90% satisfaction level expressed by the docs Data Collection The junior receptionist shall check the temperature of the coffee daily for two weeks and circulate a questionnaire to the partners asking them to score a coffee satisfaction level between 1 and 10. The practice manager shall visit Tesco’s and interview the manager about the availability, costs, quality and sell-by dates of the coffee brands available
- 37. Ali Mahdi The greatcoffee audit (Case Study) Objective Identified The doctors feel that their coffee isn’t hot enough after slogging through morning surgery Compare to standards it was found that the coffee temperature fell below 37°C on at least 33% of occasions and reached the standard on only 10% of occasions. The doctors scored the coffee at an average 3/10. The practice manager reported the results of her Tesco’s visit. Standards The coffee shall be served at a temperature of 85 90°C on 80% of occasions and there will be 90% satisfaction level expressed by the docs Data Collection The junior receptionist shall check the temperature of the coffee daily for two weeks and circulate a questionnaire to the partners asking them to score a coffee satisfaction level between 1 and 10. The practice manager shall visit Tesco’s and interview the manager about the availability, costs, quality and sell-by dates of the coffee brands available Plan & Implement Changes It was agreed to replace the aged coffee maker ( after agreeing suitable redundancy terms for the senior receptionist) with a shiny new machine from Argos. As an additional ‘quality initiative’, cream cakes would be served after surgery.
- 38. Ali Mahdi Clinical Auditproposal Form https://bit.ly/auditnhs
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Editor's Notes
- #40 gggg