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Understanding clinical audit, how to do audit, clinical improvemnet
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Clinical Audit
Clinical Practice Improvement Program (CPIP)
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
Topic
• potential benefit to the service• focused on the processes• Areas of concern• Common conditions• Index procedures
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.
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.
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
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
Proposed Audit ProcessAudit register – on lineLiterature reviewProject ProposalTeam identification and development (Consultant Ownership, resident, MO and HO, student)Department approvalEthics approvalProject Management – on line Gant ChartProgress reporting/Final outputTPM Link
Audit application form
Team
• Resident
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