OM VERMA ASSISTANT PROFESSOR RELIANCE INSTITUTE OF NURSING DHAMTARI ( C.G)

1. OM VERMA

2. MR ,OM VERMA
ASSISTANT PROFESSOR
RELIANCE INSTITUTE OF NURSING
DHAMTARI ( C,G )

7. DEFINITION
AUDIT: An audit is a systematic and official
examination of a record, process structure,
environment or account to evaluate performance.
NURSING AUDIT
According to Elison “Nursing Audit is an exercise to
find out whether good nursing practices are
followed?”
According to B.T. basavanthappa “Nursing Audit
refers to assessment of the quality of clinical
nursing.”

8. PURPOSE
1. Evaluating Nursing care given.
2. Achieves deserved and feasible quality of
nursing care.
3. Stimulant to better records.
4. Focuses on care provided and not on care
provider.
5. Can contribute to research.
6. To revise and plan standards of nursing
care.

10. CONCEPT OF NURSING AUDIT
Debit System ( COLLECTION )
•Death note of the patient justifiable or other wise
could have been prevented.
•Complication due to neglect of nursing care affecting
the integrity of any system.
•Complication leading to mortality. ( death rate )
•Hospital infection and nasocomial infection.
•Problems in treatment.
•Patient left against medical advice (LAMA).
•Lack of application of nursing process.
•Absence of total patient care.
•Total nursing care provided in a hospital only by
learners. Contd…..

11. Contd…..
Credit System ( trust)
•Number of received patients.
•Shorter stay in hospital.
•Expansion of health knowledge in patient’s
population.
•Research or problem oriented care approach.
•Regular follow up in the community.
•Improve image in public clients.
•Accurate nursing documentation.

12. STEPS OF NURSING AUDIT
1. Selection of topic for study.
2.Selection of explicit ( clarity )criteria for
quality care.
3.Review of record to see if criteria for quality
care are met.
4.Peer ( equal ) review of all cares that do not
meet criteria for quality care.
5.Specific recommendation to correct
deficiency such as staff development
programme, change in procedure etc.
6.Follow up the topic to see that problems
have been eliminated.

13. 1. According to the timings of
Audit
TYPES OF AUDIT
2. On the basis of personal
perspective

14. 1. According to the timings of Audit
a. Retrospective Audit: Auditing is done after ( back
)the patient receives the care or after the discharge of
the patient.
b. Concurrent Audit: Done while patient is receiving the
care. It includes assessing the patient at the bedside
in relation to pre-determined ( starting seening
)criteria, interviewing the staff responsible for this
care and review the patients record and care plan.
c. Prospective Audit: Attempts are to identify how
future performance
( future performance se affected )will be affected by
current interventions.
Contd…..

15. Contd…..
Contd…..
2. ON THE BASIS OF PERSONAL
PERSPECTIVE
1. Internal Audit
Carried out continuously by the hospital staff
and which consist of process of obstructing the
classifying clinical records and evaluating the
quality of medical care in individual.
E.g. Practitioner reviewing his/her own work,
review the work of practitioners by consultant
or nurse manager.

16. 2. External Audit
An outside agency periodically ( time
to time )evaluates the completeness
and accuracy of the internal audit.
Reviewing the work of practitioners by
an outside body of separated by
distance, experiences and values.

20. NURSING AUDIT TEAM
Composition of audit team comprise about 5-6
members and large in some extent change in
the type of consultants of different specialties.
Team consist representatives of:
•Nursing Administration
•Nursing Services
•Nursing Education
•Nursing Specialist
•Clinical Nurse
Eligibility: Minimum 5 members who are
interested in quality assurance and clinically
competent and able to work together in group.

21. AUDIT CYCLE

22. Set Standards
Implement Change Observe Practice
Compare with Standard

28. ADVANTAGES OF NURSING AUDIT
1. Can be used as a method of measurement
in all areas of nursing.
2. Seven functions are easily understood.
3. Scoring system is fairly simple.
4. Results easily understood.
5. Assesses the work of all those involved in
recording care.
6. May be a useful tool as part to quality
assurance programme in areas where
accurate records of care are kept.