Post on 01-Jan-2016
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Introduction to Clinical Audit
What Makes a Good Audit?
Institute of Rural Health CareAdvancing Quality in Primary Care
10th March 2011
Presenter: Debbie Davies Primary Care Quality Nurse Co-ordinator
What Makes a Good Audit?
Why should you bother doing clinical audit?Why should you bother doing clinical audit?
• Commitment to provide the best possible careCommitment to provide the best possible care
• To support reflective practiceTo support reflective practice
• To improve change methodologyTo improve change methodology
• GMC professional requirement (GMP guidance)GMC professional requirement (GMP guidance)
• NMC professional requirementNMC professional requirement
• Appraisal and RevalidationAppraisal and Revalidation
• Continuing Professional DevelopmentContinuing Professional Development
What Makes a Good Audit?
Clinical Audit is…………
“A quality improvement process that
seeks to improve patient care and
outcomes through systematic review
of care against
explicit criteria and the implementation
of change”
Principles for Best Practice in Clinical Audit (2002, NICE)
What Makes a Good Audit?
The audit cycleSelect priority
topicand set Aim and
objectives Criteria agreed and standards set
Audit (Data collected)
Identify areas for improvement
Make necessary changes
Re-audit
What Makes a Good Audit?
What makes a good audit?What makes a good audit?
• A suitable topicA suitable topic
• Agreed criteria (NICE etc)Agreed criteria (NICE etc)
• Multidisciplinary approachMultidisciplinary approach
• A pragmatic approach in terms of time and accessing A pragmatic approach in terms of time and accessing
datadata
• Uncomplicated statistical analysisUncomplicated statistical analysis
• Formulation of an action planFormulation of an action plan
• Initiating change effectivelyInitiating change effectively
What Makes a Good Audit?
Stage 1:What makes a good audit topic?
• Is one with direct importance for patient care
• Good-practice guidance has been issued by a professional or governmental body
• There is significant clinical concern
• Unsatisfactory outcomes have been reported –either incidents or complaints
• There is new research evidence available on the topic
• It is important to you or other members of the team
Stage 2What makes a good literature Review?
• Formulation of an audit question and locating the evidence
Developing criteria and ascribing standards• criteria/standards
What Makes a Good Audit?
Stage 3What makes good data collection
• Retrospective or prospective dataRetrospective or prospective data
• Do not collect unnecessary dataDo not collect unnecessary data
• Time limit and don’t deviate from audit aimTime limit and don’t deviate from audit aim
• reliability and validity
• Using appropriate data collection methodsUsing appropriate data collection methods
What Makes a Good Audit?
Stage 4Analysis
Do you need complex statistical analysis?
Generally no, unlike research, most audits will not require heavy number crunching
What Makes a Good Audit?
Stage 5Change
• Dissemination of audit results-Passive and active feedback
• A consensus is essential in bringing about any changes• Effective management skills• Audit action plan
What Makes a Good Audit?
What Makes a Good Audit?
In summary In summary What makes a good audit?What makes a good audit?
• A suitable topicA suitable topic
• unambiguous agreed criteria (NICE etc)unambiguous agreed criteria (NICE etc)
• Audits that are multidisciplinary Audits that are multidisciplinary
• A pragmatic approach in terms of time and accessing dataA pragmatic approach in terms of time and accessing data
• Uncomplicated statistical analysisUncomplicated statistical analysis
• Formulation of an action planFormulation of an action plan
• Ensuring validity and reliability through Ensuring validity and reliability through rigorous development of standards/criteriarigorous development of standards/criteria
Piloting data collection methodsPiloting data collection methods
Provide appropriate data collection trainingProvide appropriate data collection training
What Makes a Good Audit?
Contact Details
debbie.davies9@wales.nhs.uk 01495-332313
Primary Care Quality and Information Team