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CHICA Audit Toolkit

CHICA Audit Toolkit. The Audit Process. www.chica.org. Acknowledgements. CHICA-CANADA Audit Toolkit Working Group members: Anne Bialachowski Karen Clinker Mary LeBlanc Shirley McDonald. Benefits of CHICA Membership. CHICA-CANADA membership with its protected password:

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CHICA Audit Toolkit

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  1. CHICA Audit Toolkit The Audit Process www.chica.org

  2. Acknowledgements CHICA-CANADA Audit Toolkit Working Group members: • Anne Bialachowski • Karen Clinker • Mary LeBlanc • Shirley McDonald

  3. Benefits of CHICA Membership CHICA-CANADA membership with its protected password: http://www.chica.org • provides free access to all of the on-line and interactive audit tools as they are developed, as a privilege of membership (not available to non-members) • promotes interest in CHICA membership

  4. Benefits of CHICA Membership

  5. Objectives • To describe key steps in the auditing process • To provide a brief overview of the CHICA Audit toolkit

  6. Audit Process Steps The steps in carrying out a successful audit include: 1. Prepare for the audit

  7. Pre-audit Preparation • Select a prepared auditor and area to be audited: • auditor must be objective • must understand the audit tool • must have the ability to observe and assess practice • can be an ICP and/or department staff

  8. Pre-audit Preparation • Establish the audit methodology: • who are the stakeholders (who gets the report)? • establish scope of audit (e.g., all staff vs. some staff; all rooms on a unit vs. patient rooms) • how is audit to be conducted (e.g., PDA vs. paper, time period)

  9. Pre-audit Preparation • Select the criteria to be audited: • evaluate against standards of practice • design data collection tool • validate audit tool • OR • use CHICA’s audit tools!

  10. Pre-audit Preparation • Utilize current best practices and standards: • CSA standards • provincial regulations (e.g., OHS) • national guidelines (e.g., PHAC • provincial best practices (e.g., PIDAC) • International guidelines (e.g., WHO, CDC) • published literature

  11. Audit Process Steps The steps in carrying out a successful audit include: 2. Conduct the audit by observing practice

  12. Audit Process Steps The steps in carrying out a successful audit include: 3. Post-audit follow up and feedback

  13. Post-audit The Audit Summary Report

  14. Post-audit Analysis • Using the Impact Definitions (blue), determine which best describes the seriousness of the deficiency • Using the Likelihood Definitions (yellow), determine which best describes the likelihood of the deficiency occurring in future if not dealt with now

  15. Post-audit Analysis Determine Risk Level

  16. Post-audit Analysis • After determining the Risk Level of the deficiency, you (and stakeholders) are ready to look at: • recommended corrective action(s) • level of involvement • action timeline for resolution • Use the Risk Level Chart to assist you with action planning decisions

  17. Post-audit Analysis Risk Level Chart

  18. Audit Process Steps • The steps in carrying out a successful audit include: • 4. Re-audit to “close the loop”

  19. Questions ?

  20. Thank you!

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