Using Audit to Improve Clinical Practice

Mandy Murphy

General Manager

Guy’s and St. Thomas’ Occupational Health Service

17th June 2015

Word Association

Cup

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Audit

Monitoring

Teamwork

Meeting

Audi TT

Complete Cycle

Evaluate

Checklist

Changezzzz

Organised

Dull

Check

Evaluate

Cycle

Help

Improvement

Requirement

Hair loss

Repetitious

Monotonous

What does Audit mean to you?

A.A. Milne (1926)

The Audit Cycle

Apr-14 Mar-15

May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15

Jul-14 - Sep-14Data Collection

Oct-14 - Dec-14Data Analysis

Jan-15 - Feb-15Produce Report

Mar-15 - Mar-15Finalise Reports

OHS Audit Timeline2014-15

24 May, 2014MoHaWK

Apr-15Audit presentation

Apr-14 - May-14Audit Planning

12 April, 2014Planning Audit Subject Begins

Jun-14Customer Satisfaction Survey

24 June, 2014Audit proposals - Presentations

Nov-14MoHaWK

Oct-14Team Satisfaction Survey

Audit Planning – ‘What’

Audit Planning – ‘Who’

“No problem can be solved from the same consciousness that created it – we must learn to see the world anew” Albert Einstein

Data Collection and Analysis – ‘How’

•Asking the right question

•Using the right tool

•Sampling

•Timescales

Presentation and feedback from colleagues/team

Action Plan

Celebrate the good stuff !

● Poster presentation in Trust

The Findings

What have we learned?

• HWDU back pain Better documentation, encouraging to stay at work, enquiring about impact of work

• HWDU depression screening More screening for depression, suicide, alcohol,

• GSTT PGD Significant improvement in all domains, developed competency programme (annual exam)

• GSTT EPP One list, clarifying the roles

• GSTT record keeping Significant improvement in electronic records

• MoHaWK Benchmarking and tracking performance, record keeping

MoHaWK

Why Audit

Non-judgemental

Does Audit improve clinical practice?

WhatWhatHowHow

WhyWhy

Guy’s and St. Thomas’ Occupational Health Service

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