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Clinical audit

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Understanding clinical audit, how to do audit, clinical improvemnet

Published in: Health & Medicine, Business

Clinical audit

  1. 1. Clinical Audit Clinical Practice Improvement Program (CPIP)
  2. 2. Clinical audit • is a quality improvement process that seeks to improve patient care and outcomes • through systematic review of care against explicit criteria • implementation of change, at an individual, team, or service level and • further monitoring is used to confirm improvement
  3. 3. Topic • potential benefit to the service • focused on the processes • Areas of concern • Common conditions • Index procedures
  4. 4. Agreeing standards of best practice (audit criteria). • Guidelines • Literature • E.g. National Institute of Clinical Excellence (NICE), National Service Frameworks (NSFs), National • Confidential Enquiries, National Patient Safety Agency (NPSA) or Royal Colleges/ National Professional Body.
  5. 5. Audit criteria (contd) • Publication of conclusive new evidence about clinically effective healthcare; • local or regional treatment guidelines, protocols or frameworks; • user views or complaints; • adverse incident/near miss reporting clinical/critical incident reporting); or • identified local priorities or concerns, e.g. areas of high volume, risk or cost.
  6. 6. Process • FORM TEAM • SET THE AIM, OBJECTIVES AND STANDARDS • ETHICS & ENGAGEMENT • SELECT AN AUDIT SAMPLE • PLAN AND CARRY OUT DATA COLLECTION • ANALYSE THE DATA • PRESENT THE FINDINGS • IMPLEMENT CHANGES AND RE-AUDIT
  7. 7. Collecting data • sample population • ‘snapshot’ sample size ( 20-40)(use Epi Info (www.cdc.gov/epiinfo) • current or recent patients • QUANTITATIVE & QUALITATIVE DATA • Design questionnaire/database • IT- tablet input device • DATA PROTECTION ISSUES • PILOT
  8. 8. Proposed Audit Process Audit register – on line Literature review Project Proposal Team identification and development (Consultant Ownership, resident, MO and HO, student) Department approval Ethics approval Project Management – on line Gant Chart Progress reporting/Final output TPM Link
  9. 9. Audit application form
  10. 10. Team • Resident

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