Clinical Audit. Jill Warn, Audit & IT Lead Dr John Guy, Clinical Lead. What . do you hope to achieve today? experience have you had of audit?. Today we will look at…. Enhancing your understanding of Audit Getting Audit right for Revalidation The benefits of Audit in Primary Care
Jill Warn, Audit & IT Lead
Dr John Guy, Clinical Lead
do you hope to achieve today?
experience have you had of audit?
Please ask questions / interrupt
A small change in practice is better than a major discussion of the possibilities
all doctors should take part in systematic audit and be familiar with the principles and practice of clinical audit
Auditing your own practice!
Is your topic appropriate?
Does it reflect the care undertaken by you the practitioner?
Is it evidence based?
For principals / static salaried doctors
For sessional docs
Measure care against a set standard or criteria
Take action to improve care
Monitor to sustain improvement
An educational activity
Source of information
Found on Google:
The doctors feel that their coffee isn’t hot enough after slogging through morning surgery
The coffee shall be hot and satisfying to the hard pressed docs
The coffee shall be served at a temperature of 85-90C on 80% of occasions and there will be 90% satisfaction level expressed by the docsThe great coffee audit
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.The great coffee audit
After a rather tense audit team meeting it was found that the coffee temperature fell below 37C 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 and two expressed it undrinkable. The practice manager reported the results of her Tesco’s visit.The great coffee audit
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. The coffee contract would be switched from the corner shop to Tesco PLC Trust.The great coffee audit
For a further two weeks it was agreed to measure the coffee temperature and re-circulate the questionnaire. It was gratifying to find 100% correlation with agreed standards with the exception of one partner who didn’t like coffee anyway.
Cost implications of standard maintenance
Cholesterol assays for partnersThe great coffee audit
A criterion is a statement of what should be happening.
George W. Bush
Percentage of patients discharged from hospital with either complete, incomplete or no discharge letter
Patient who had a Health Check
Reason for choice
Dates of first and second data collections
Criteria and standards with justification
Results of first data collection – reflection
Summary of discussion and changes agreed
It should be discussed in a meeting
Changes involve you
Reports should not identify the patients
Title of event
Date of event
Date of meeting
Description of event
What went well?
What could have been done differently?
New cancer diagnoses
What about sharing across health economy?