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INTRODUCTION
• MECHANISM FOR ASSESSING AND IMPROVING THE QUALITY OF WORK AND IDENTIFYING THE WAYS FOR
IMPROVING THE EFFICIENCY OF CARE.
TOOLPERFORMANCE
EVALUATION
COMPARED WITH
SET STANDARD
HISTORICAL PERSPECTIVE
SR.NO YEAR AUDITORS CONTRIDUTIONS
1 1853-1855 FLORENCE NIGHTINGALE EPIDEMIOLOGICAL APPROACH- EVALUATE STANDARD OF HYGIENE
AND AVAILABILITY OF EQUIPMENT TO BRING DOWN MORTALITY
RATE OF SOLDIERS.
2 1912 ERNEST CODMAN MONITOR SURGICAL OUTCOMES.
3 1928 THOMAS R & PONDON M MEDICAL AUDIT- EVALUTE MEDICAL CARE BY REVIEWING THE
MEDICAL RECORDS.
4 1955 ---- FIRST REPORT OF NURSING AUDIT PUBLISHED.
5 1961 MUDALIAR COMMITEE MEDICAL AUDIT NEW CONCEPT INTRODUCED IN INDIA
DEFINITIONS
• ACCORDING TO ELISON, NURSING AUDIT REFERS TO ASSESSMENT OF THE QUALITY OF CLINICAL
NURSING.
• ACCORDING TO RANF, NURSING AUDIT IS A FORMAL DETAILED SYSTEMATIC REVIEW OF RECORDS OR
OBSERVATION OF NURSING ACTION IN ORDER TO EVALUTE THE QUALITY OF NURSING CARE BY
COMPARING THE DOCUMENTED EVIDENCE WITH ACCEPTED STANDARDS AND CRITERIA.
• ACCORDING TO COTT,1987- IT IS THE PROCESS OF EVALUATING APPROPRITENESS AND EFFECTIVENESS
OF CARE MEASURES.
OBJECTIVES OF NURSING AUDIT
oTO IMPROVE THE QUALITY OF CARE.
oTO MEASURE THE DEGREE OF QUALITY OF CARE AGAINST DEFINED CRITERIA.
oTO DECREASE THE COST OF NURSING CARE.
oTO PROVIDE THE BASIS FOR DETERMINING NURSING NEGLIGENCE.
oTO TAKE THE REMEDIAL MEASURES TOWORDS COST EFFECTIVENESS.
oTO PROVIDE THE EDUCATION TO ALL NURSING PERSONNEL BY PROCESS OF SELF EDUCATION.
oTO PREVENT THE SHORTCOMINGS TO REOCCUR.
oTO PROVIDE DATABASE FOR PLANNING RESOURCES BY GETTING THE INFORMATION.
oTO ENHANCE THE PROFESSIONAL KNOWLEGDE FROM PAST EXPERIENCE.
IMPORTANCE OF NURSING AUDIT
• IT SERVES AS A VALUABLE INDICATOR TO MEASURE QUALITY OF CARE.
• IT FOCUSES ON CARE PROVIDED NOT ON CARE PROVIDER.
• IT HELPS IN IMPROVING THE QUALITY OF CARE.
• IT FACILITATE TO MAINTAIN THE QUALITY AND ACCURACY OF NURSING RECORDS.
ADVANTAGES OF NURSING AUDIT
• USED AS A METHOD OF MEASUREMENT IN ALL AREA OF NURSING.
• SIMPLE PROCESS- RESULT EASILY UNDERSTOOD.
• USEFUL TOOL FOR QUALITY ASSURANCE.
DISADVANTAGE OF NURSING AUDIT
• MANY COMPONENTS OVERLAPS ANALYSIS – IT IS DIFFICULT
• TIME CONSUMING
• NEED TEAM OF TRAINED AUDITORS
• REQUIRE LARGE NUMBER OF INFORMATION
BASES OF NURSING AUDIT
BASES
DEBIT
ITEMS
CREDIT
ITEMS
AUDITOR
QUALITY &
STANDARD
RESOURCE
ACTIVITIES
TYPES OF NURSING AUDIT
TYES OF
NURSING AUDIT
BASED ON
METHODOLOGY
RETROPECTIVE
PROSPECTIVE
MIXED
BASED ON
AUDITOR
INTERNAL
EXTERNAL
NURSING AUDIT PROCESS
DESCRIBING
PHASE
PREPARING
PHASE
IMPLEMENTING
PHASE
ANALYSIS
PHASE
CONCLUDING
PHASE
UNDERSTANDING EACH PHASE
DESCRIBING PREPARING IMPLEMENTING ANALYSIS CONCLUDING
IDENTIFY
ISSUES/TOPIC
DEFINE CRITERIA AND PREPARE AUDIT TOOL
MAKE A PLAN FOR GATHERING INFORMATION
GET ETHICAL APPROVAL FROM ETHICAL
COMMITTEE
GATHER DATA
ANALYZE DATA AND COMPARE RESULTS WITH
CRITERIA AND STANDARD
MAKE A AUDIT SUMMARY
PLAN AND IMPLEMENTING CHANGE
RE- AUDIT
FORMING AUDIT
TEAM
SET AUDIT CRITERIA
AND STANDARD
DEVELOP AUDIT
PROTOCOL
Nursing audit

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Nursing audit

  • 1.
  • 2. INTRODUCTION • MECHANISM FOR ASSESSING AND IMPROVING THE QUALITY OF WORK AND IDENTIFYING THE WAYS FOR IMPROVING THE EFFICIENCY OF CARE. TOOLPERFORMANCE EVALUATION COMPARED WITH SET STANDARD
  • 3. HISTORICAL PERSPECTIVE SR.NO YEAR AUDITORS CONTRIDUTIONS 1 1853-1855 FLORENCE NIGHTINGALE EPIDEMIOLOGICAL APPROACH- EVALUATE STANDARD OF HYGIENE AND AVAILABILITY OF EQUIPMENT TO BRING DOWN MORTALITY RATE OF SOLDIERS. 2 1912 ERNEST CODMAN MONITOR SURGICAL OUTCOMES. 3 1928 THOMAS R & PONDON M MEDICAL AUDIT- EVALUTE MEDICAL CARE BY REVIEWING THE MEDICAL RECORDS. 4 1955 ---- FIRST REPORT OF NURSING AUDIT PUBLISHED. 5 1961 MUDALIAR COMMITEE MEDICAL AUDIT NEW CONCEPT INTRODUCED IN INDIA
  • 4. DEFINITIONS • ACCORDING TO ELISON, NURSING AUDIT REFERS TO ASSESSMENT OF THE QUALITY OF CLINICAL NURSING. • ACCORDING TO RANF, NURSING AUDIT IS A FORMAL DETAILED SYSTEMATIC REVIEW OF RECORDS OR OBSERVATION OF NURSING ACTION IN ORDER TO EVALUTE THE QUALITY OF NURSING CARE BY COMPARING THE DOCUMENTED EVIDENCE WITH ACCEPTED STANDARDS AND CRITERIA. • ACCORDING TO COTT,1987- IT IS THE PROCESS OF EVALUATING APPROPRITENESS AND EFFECTIVENESS OF CARE MEASURES.
  • 5. OBJECTIVES OF NURSING AUDIT oTO IMPROVE THE QUALITY OF CARE. oTO MEASURE THE DEGREE OF QUALITY OF CARE AGAINST DEFINED CRITERIA. oTO DECREASE THE COST OF NURSING CARE. oTO PROVIDE THE BASIS FOR DETERMINING NURSING NEGLIGENCE. oTO TAKE THE REMEDIAL MEASURES TOWORDS COST EFFECTIVENESS. oTO PROVIDE THE EDUCATION TO ALL NURSING PERSONNEL BY PROCESS OF SELF EDUCATION. oTO PREVENT THE SHORTCOMINGS TO REOCCUR. oTO PROVIDE DATABASE FOR PLANNING RESOURCES BY GETTING THE INFORMATION. oTO ENHANCE THE PROFESSIONAL KNOWLEGDE FROM PAST EXPERIENCE.
  • 6. IMPORTANCE OF NURSING AUDIT • IT SERVES AS A VALUABLE INDICATOR TO MEASURE QUALITY OF CARE. • IT FOCUSES ON CARE PROVIDED NOT ON CARE PROVIDER. • IT HELPS IN IMPROVING THE QUALITY OF CARE. • IT FACILITATE TO MAINTAIN THE QUALITY AND ACCURACY OF NURSING RECORDS.
  • 7. ADVANTAGES OF NURSING AUDIT • USED AS A METHOD OF MEASUREMENT IN ALL AREA OF NURSING. • SIMPLE PROCESS- RESULT EASILY UNDERSTOOD. • USEFUL TOOL FOR QUALITY ASSURANCE.
  • 8. DISADVANTAGE OF NURSING AUDIT • MANY COMPONENTS OVERLAPS ANALYSIS – IT IS DIFFICULT • TIME CONSUMING • NEED TEAM OF TRAINED AUDITORS • REQUIRE LARGE NUMBER OF INFORMATION
  • 9. BASES OF NURSING AUDIT BASES DEBIT ITEMS CREDIT ITEMS AUDITOR QUALITY & STANDARD RESOURCE ACTIVITIES
  • 10. TYPES OF NURSING AUDIT TYES OF NURSING AUDIT BASED ON METHODOLOGY RETROPECTIVE PROSPECTIVE MIXED BASED ON AUDITOR INTERNAL EXTERNAL
  • 12. UNDERSTANDING EACH PHASE DESCRIBING PREPARING IMPLEMENTING ANALYSIS CONCLUDING IDENTIFY ISSUES/TOPIC DEFINE CRITERIA AND PREPARE AUDIT TOOL MAKE A PLAN FOR GATHERING INFORMATION GET ETHICAL APPROVAL FROM ETHICAL COMMITTEE GATHER DATA ANALYZE DATA AND COMPARE RESULTS WITH CRITERIA AND STANDARD MAKE A AUDIT SUMMARY PLAN AND IMPLEMENTING CHANGE RE- AUDIT FORMING AUDIT TEAM SET AUDIT CRITERIA AND STANDARD DEVELOP AUDIT PROTOCOL