Clinical Audit
What is an audit ?
‘The systematic and critical analysis of the quality of the clinical care’
Aims ‘to evaluate how local practice resembles best practice.’
Audit cycle
- Determine standard to be audited
- Collect data
- ? meeting standard
- If not, decide on a strategy for change and put in place.
- Monitor effective change.
Start with a Standard or a guideline.
Discuss your project with your supervisor and Clinical Audit and Effectiveness Lead.
Identify Clinical Lead to lead the project.
Write up and present findings at the end of the cycle.
Process Audit – e.g. questionnaire to patients e.g. where you given instruction in how to …. Where you given advice about…..
Outcome audit – records/computer records audit – e.g. how many patients developed aspiration pneumonia, questionnaire to patients – e.g. extent of understanding regarding ….
How to choose an audit
- Frequency – repetition can lead to skills slipping
- Level of risk
- History – past problems etc./ complaints
What makes a good audit?
- Patient centred, possible to measure, frequently occurring problem, good team invovlvement.
Criterion – an element of care/ activity that can be measured.
Standard – describes the level of care to be achieved for any particular criterion (have a minimum, ideal and optimum).
Collecting data
- Plan and involve all staff.
- Consider if you need to look at all occurences or a sample.
- Sampling technique
- Use data collection forms/ questionnaires
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