All you wanted to know but were afraid to ask
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CLINICAL AUDIT. ALL YOU WANTED TO KNOW BUT WERE AFRAID TO ASK!. WHAT IS CLINICAL AUDIT?.

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ALL YOU WANTED TO KNOW BUT WERE AFRAID TO ASK!

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All you wanted to know but were afraid to ask

CLINICAL AUDIT

ALL YOU WANTED TO KNOW BUT WERE AFRAID TO ASK!


What is clinical audit

WHAT IS CLINICAL AUDIT?

The systematic critical analysis of the quality of clinical care including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patients.


Clinical audit is

CLINICAL AUDIT IS:

  • A way of improving the care of patients by using a multi-disciplinary approach, when appropriate, to look at what you are doing and see if you can do it better

  • A systematic, logical review of care

  • Patient focused


What clinical audit is not

WHAT CLINICAL AUDIT IS NOT

  • Big brother

  • Threatening

  • A cost cutting exercise

  • Worthless and a waste of time


What s the difference between audit and research

WHAT’S THE DIFFERENCE BETWEEN AUDIT AND RESEARCH?

Research is the search for new knowledge, that then tells us how practice should be done

Audit informs us if we are doing what we should be doing!


Audit why bother

AUDIT - WHY BOTHER?

  • Identifying problems in practice and through the audit cycle will mean that future patients/families should not suffer the same problem

  • Aiming staff time and resources at those practices that work rather than those that do not

  • Staff are able to monitor their work, review it and seek ways of improvement

  • Provides a systematic way of thinking about objectives and outcomes of care

  • Identifies areas where care is effective or not

  • Problems are considered in detail


Why bother continued

WHY BOTHER continued

  • Important for education and training

    • Structured review allows analysis, comparison, and evaluation

  • Promotes adherence to policies

  • Offers opportunities to publish results

  • Education programmes can be tailored to local need


The audit cycle

THE AUDIT CYCLE

CHOOSE

TOPIC

RE-AUDIT

HAS IT

WORKED?

SET

STANDARD

IMPLEMENT

CHANGES

COLLECT

DATA

ANALYSE &

COMPARE WITH

STANDARD


Choosing a topic

CHOOSING A TOPIC

  • High volume

  • High cost

  • High risk

  • Gut feeling

  • Interesting

  • Benefit the patient

DON’T JUST AUDIT FOR THE SAKE OF IT

INVOLVE ALL WHO NEED TO BE


Set standard

SET STANDARD

  • A standard should have a specific criteria and a value

  • Criteria should be definable and be able to be measured

    • e.g. 100% of patients shall have a manual handling assessment within 12 hours of admission

Should be realistic, evidence based where possible, practical and applicable to local circumstances


Data collection

DATA COLLECTION

  • Collect only what is necessary for the audit

  • Use most suitable method

    • e.g. questionnaire, observation, information from medical notes, computer beware GIGO

  • Pilot first

DON’T RE-INVENT THE WHEEL


Implementing change

IMPLEMENTING CHANGE

  • Involve all

  • Implement at a sensible rate

  • Action plan and don’t just jump in feet first

  • Implement only that needed

  • Don’t change for change’s sake


Conclusions

CONCLUSIONS

  • Use the audit cycle

  • Use the audit department

  • Keep it simple

GOOD LUCK


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