Presentations : Monitoring and Auditing Framework - Key ... · *concurrent audit of compliance with...
Transcript of Presentations : Monitoring and Auditing Framework - Key ... · *concurrent audit of compliance with...
Monitoring and Auditing Framework – key aspects
Margo Asimus, Nurse Practitioner Wound Care
Lin Perry, Professor of Nursing
Marilyn Cochrane, CNC Wounds & Surgical Services
Geraldine McGettigan, A/CNE
Matthew Wilson, Wound Care CNC
‘Robust audit and data collection systems should be developed to evaluate the effectiveness of current strategies and identify areas where improvements can be made’ 8.1.1, 8.1.2, 8.2.1, 8.3.1, 8.4.1, 8.5.1, 8.5.2, 8.5.3, 8.6.1, 8.6.2, 8.6.3, 8.7.2, 8.7.3, 8.7.4, 8.8.2, 8.8.3, 8.8.4 i.e. 17 / 24 criteria specifically refer to ‘audit’
Audit priorities of the Working Group
1st meeting Feb 2013
March 2013 – identified 60 audit criteria Context & Patient characteristics Risk assessment Risk management - PI prevention Wound Management Patient & family involvement
Essential versus Desirable
For reportage at state, LHD, local levels
‘Minimum dataset’:
Risk assessment Risk management - PI prevention Wound Management Patient & family involvement
Foundational work:
International & translational work on PI data collection:
The National Pressure Ulcer Advisory Panel
The European Pressure Ulcer Advisory Panel
Royal College of Nursing, UK
Jenny Prentice in WA
The PUPPS work from Victoria
and others across Australia
Policy
(NSW planned IT
developments)
Patient & family
involvement
Education modules Equipment
Monitoring & Auditing Framework
Criteria for the methods
Essential considerations:
Valid & reliable data:
Use structured, objective tools & processes
Plan & organise events
Auditors: training & debriefing; auditor independence
Feasibility – resourcing, time, skills, training
Acceptability – to staff & patients
Recommendations:
1. Point prevalence survey at least annually: *no. of patients with PI at a specific time point *concurrent audit of compliance with core aspects of preventive care
2. Best practice clinical audit of care process documentation: *collect regularly, frequency decided locally
3. Regular monitoring of recorded PI incidence in each organisation using routinely collected data: *occurrence of new cases in an organisation