Understanding clinical audit, how to do audit, clinical improvemnet

1. Clinical Audit
Clinical Practice Improvement Program (CPIP)

2. 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

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

6. 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.

7. 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.

8. 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

9. 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

11. Proposed Audit Process
Audit register – on line
Literature review
Project Proposal
Team identification and development (Consultant
Ownership, resident, MO and HO, student)
Department approval
Ethics approval
Project Management – on line Gant Chart
Progress reporting/Final output
TPM Link

12. Audit
application
form

13. Team
• Resident