Dr Gen WongDr Gen Wong

Associate Clinical DirectorAssociate Clinical Director

NHS SalfordNHS Salford

Clinical AuditsClinical Audits

ObjectivesObjectives Why do we need to audit?Why do we need to audit? What is an audit (as oppose to What is an audit (as oppose to

research)? research)? How to perform an audit?How to perform an audit? Case discussionCase discussion

Blind SpotBlind Spot

Essential evidence Essential evidence proposed for Revalidationproposed for Revalidation

A description of the GP’s professional roles A description of the GP’s professional roles A statement of any exceptional circumstances A statement of any exceptional circumstances five annual appraisals five annual appraisals A personal development plan A personal development plan review of previous year’s PDP review of previous year’s PDP 250 learning credits 250 learning credits

Audits in at least 2 significant clinical Audits in at least 2 significant clinical areasareas

2 multi-source feedback 2 multi-source feedback 2 patient surveys 2 patient surveys 5 significant event audits 5 significant event audits complaintscomplaints probity, health probity, health

Clinical AuditClinical Audit

A systematic quantified comparison A systematic quantified comparison against explicit standards of current against explicit standards of current medical practice in order to improve medical practice in order to improve

the quality of care to patientsthe quality of care to patients

Audit vs. ResearchAudit vs. Research

Audit vs. ResearchAudit vs. Research Research determines what is best Research determines what is best

practice i.e. to provide new practice i.e. to provide new knowledgeknowledge

Clinical audit determines if we are Clinical audit determines if we are following best practicefollowing best practice

Clinical AuditsClinical Audits It is a learning processIt is a learning process To improve health of patients and To improve health of patients and

not a witch hunt not a witch hunt Should not be threatening to those Should not be threatening to those

being evaluatedbeing evaluated

Steps in AuditSteps in Audit

1.1. Choose a topicChoose a topic2.2. Select criteria Select criteria 3.3. Set standards (with justification)Set standards (with justification)4.4. Preparation & PlanningPreparation & Planning5.5. 11stst data collection, comparison with data collection, comparison with

standards and analysis of datastandards and analysis of data6.6. Changes and actions takenChanges and actions taken7.7. 22ndnd data collection, comparison with 1 data collection, comparison with 1stst

data collection and standardsdata collection and standards8.8. Final results and conclusionsFinal results and conclusions

New or review

TOPIC

Data collection

Compare resultswith standards

Implement change

Criteria, standards & preparation

Discuss with practice

Audits help us see Audits help us see our blind spotour blind spot