Transcript TITLE OF AUDIT - Dartford and Gravesham NHS Trust

TITLE OF AUDIT
Author
Date of presentation
Background
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Why did you do the audit? e.g. high risk / high
cost / frequent procedure? Concern that best
practice not being followed?
Include summary of any previous work done
locally or elsewhere on this topic
Literature reviewed, including description of
local protocols if appropriate
Aims
Broad statement, expressed in terms of the
question you are seeking to answer, or the
result you are intending to bring about
E.g.
“Are we applying best practice in the
management of leg ulcers?”
OR………
“To improve the care received by patients who
develop leg ulcers”
Objectives
Breaking down your overall purpose into more
detailed and specific component parts;
Clarifies the steps you will need to take to
achieve your overall purpose
e.g.
To ensure that leg ulcers are treated appropriately
To ensure timely treatment
Standards
Defining best practice that we are aiming to achieve derived from published guidelines, search & appraisal
of research evidence or locally agreed best practice
Audit Criteria
(Standard Statements)
Venous leg ulcers will be
treated with graduated multilayer high compression
bandaging
Target
Exceptions
ABPI = <0.8
100%
(ankle: brachial
pressure index)
Source of Evidence
RCN ‘Management of Venous Leg
Ulcers’ guidance (1998) & UBHT
protocol
Methodology
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Sample (How was sample determined? How
many patients? How identified, eg. what
codes used to identify on computer system?)
How & when was data collected?
Any problems collecting data?
Method of data analysis
Results
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Present results against standards, e.g.
30/50 cases met criteria for standard 1, and 10 met
exception criteria
=> 40/50 (80%) met standard
Use numbers & percentages and/or charts – whichever
displays information most clearly. Ensure you state how
many subjects were included - ‘n’ number
Keep your message clear - don’t include excess
information or use too many graphs
Don’t identify individual staff or patients
Conclusions
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List of key points
Any conclusions must be supported by the
data presented in results section
Discussion
E.g.
• Any problems encountered during audit
• Any limitations of the audit
• Proposed action plan and ICE score (see
following slide for details)
Recommendations for Improving Care
•Proposed Action plan – for discussion at audit meeting
Recommendations Action(s) Evidence
for improving
to be
of Actions
practice
taken
Nominated Due date
Lead(s)
List your
suggestions for
improving practice
Agreed
leads for
taking the
action
forward –
this should
be
consultant
level
Outline
the
specific
actions
that will
need to
be taken
What
evidence
will be
available to
show
action has
been
completed
When will
the action be
completed
by?
References
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Optional but may be asked about
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Use standard & consistent format, e.g.
Smith A B (1999) ‘Reducing waiting times in
Outpatient Clinics’, BMJ Vol 500: 100-101.