developments in national clinical audit for essence of care l.
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  1. Developments in National Clinical Audit for Essence of care Linda Watterson Programme manager Evaluating and Improving Royal College of Nursing

  2. Project aims • Identify a ranked list of priority topics related to the fundamentals of care. • Consider which topics are most feasible for national clinical audit and most likely to result in improvements in the quality and safety of patient care. • Identify links to existing information systems and to consider the most streamlined and cost effective approach to data collection.

  3. Project stages • Literature review • Key Stakeholders consultation -workshops • Key stakeholder consultation - e survey • Second key stakeholder consultation from stage 2 via e mail • Preparation of final report

  4. Workshops and e survey • Aim to enable a wide range of stakeholders to reflect their views about what topics can usefully be the subject of National Clinical Audit in a way that will support real improvements in care

  5. Overall priority topics (total points) • Food and nutrition 832 • 2. Communication 752 • 3. Privacy and dignity 555 • 4. Patient focus/patient control 278 • 5. Record keeping 230

  6. Challenges • How important is it to capture qualitative data in a national audit on these topics? • How could Observations of practice and staff attitudes and behaviours be integrated into a national audit? • What should the role of IT be in gathering data for national audit by nurses? • Would anonomysation of results make any difference to staff willingness to take part?

  7. References Badham J, Wall D, Sinfield M, Lancaster K (2006) The Essence of Care in clinical governance. Clinical Governance. Bradford Vol 11 Iss. 1 P22 -29 Ellis J,(2006) All inclusive benchmarking Journal of Nursing Management 14 (5) July p377 - 383 Gooch J, Woolley J, (2008) Essence of care: a collaborative audit Nursing Management 14 (10) p28 -32 Jones S, (2008) Local Implementation of the Essence of Care Benchmarks Nursing Standard 22(37) p 35 - 40 Manley K, McCormack B (2008) Person-centred care Nursing Management 15 (8) p12 -13 Nightingale S. Stevens E, (2006) A review of theatre practice through ‘Essence of Care’ benchmarking. The Journal of Perioperative Practice May Vol 16 (5) p231 – 2 Walker H, Etches C (2007) Improving ward management Nursing Standard Vol 21 (20) 24 January pp 35 - 40