Clinical Audit

Clinical Practice Improvement Program (CPIP)

Clinical audit

• is a quality improvement process that seeks to improve patient care and outcomes

• through systematic review of care against explicit criteria

• implementation of change, at an individual, team, or service level and

• further monitoring is used to confirm improvement

Topic

• potential benefit to the service• focused on the processes• Areas of concern• Common conditions• Index procedures

Agreeing standards of best practice (audit criteria).

• Guidelines• Literature• E.g. National Institute of Clinical Excellence

(NICE), National Service Frameworks (NSFs), National

• Confidential Enquiries, National Patient Safety Agency (NPSA) or Royal Colleges/ National Professional Body.

Audit criteria (contd)

• Publication of conclusive new evidence about clinically effective healthcare;

• local or regional treatment guidelines, protocols or frameworks;

• user views or complaints; • adverse incident/near miss reporting

clinical/critical incident reporting); or• identified local priorities or concerns, e.g. areas

of high volume, risk or cost.

Process

• FORM TEAM• SET THE AIM, OBJECTIVES AND STANDARDS• ETHICS & ENGAGEMENT• SELECT AN AUDIT SAMPLE• PLAN AND CARRY OUT DATA COLLECTION• ANALYSE THE DATA• PRESENT THE FINDINGS• IMPLEMENT CHANGES AND RE-AUDIT

Collecting data• sample population • ‘snapshot’ sample size ( 20-40)(use Epi Info

(www.cdc.gov/epiinfo)• current or recent patients• QUANTITATIVE & QUALITATIVE DATA• Design questionnaire/database• IT- tablet input device• DATA PROTECTION ISSUES• PILOT

Proposed Audit ProcessAudit register – on lineLiterature reviewProject ProposalTeam identification and development (Consultant Ownership, resident, MO and HO, student)Department approvalEthics approvalProject Management – on line Gant ChartProgress reporting/Final outputTPM Link

Audit application form

Team

• Resident