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Clinical Audit and the Audit Cycle

Clinical Audit and the Audit Cycle. What we are going to cover today. The audit cycle. What we are going to cover today. The audit cycle Criteria and standards. What we are going to cover today. The audit cycle Criteria and standards Structure, process and outcome.

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Clinical Audit and the Audit Cycle

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  1. Clinical Audit and the Audit Cycle Gloucestershire PCCAG

  2. What we are going to cover today • The audit cycle Gloucestershire PCCAG

  3. What we are going to cover today • The audit cycle • Criteria and standards Gloucestershire PCCAG

  4. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome Gloucestershire PCCAG

  5. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome • An audit example Gloucestershire PCCAG

  6. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome • An audit example • Problems with audit Gloucestershire PCCAG

  7. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome • An audit example • Problems with audit • How audit fits into ‘Clinical Governance’ Gloucestershire PCCAG

  8. A definition of audit “The systematic critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources and the resulting outcome and quality of life for the patient” Working for Patients 1989 Gloucestershire PCCAG

  9. Reactions to audit • Enthusiasm • Cynicism • Obligation • Doubt • Exhaustion Gloucestershire PCCAG

  10. Types of audit • Managerial Gloucestershire PCCAG

  11. Types of audit • Managerial • Financial Gloucestershire PCCAG

  12. Types of audit • Managerial • Financial • Clinical Gloucestershire PCCAG

  13. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Gloucestershire PCCAG

  14. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Gloucestershire PCCAG

  15. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Cohort based Gloucestershire PCCAG

  16. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Cohort based Comparative Gloucestershire PCCAG

  17. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Cohort based Comparative Significant event based Gloucestershire PCCAG

  18. Effective audit • An educational activity Gloucestershire PCCAG

  19. Effective audit • An educational activity • Promotes understanding Gloucestershire PCCAG

  20. Effective audit • An educational activity • Promotes understanding • Resource effective Gloucestershire PCCAG

  21. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards Gloucestershire PCCAG

  22. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change Gloucestershire PCCAG

  23. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change • Source of information Gloucestershire PCCAG

  24. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change • Source of information • Peer led Gloucestershire PCCAG

  25. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change • Source of information • Peer led • Involves patients Gloucestershire PCCAG

  26. The audit cycle Problem or objective identified Gloucestershire PCCAG

  27. The audit cycle Problem or objective identified Criteria agreed and standards set Gloucestershire PCCAG

  28. The audit cycle Problem or objective identified Criteria agreed and standards set Audit (Data collected) Gloucestershire PCCAG

  29. The audit cycle Problem or objective identified Criteria agreed and standards set Audit (Data collected) Identify areas for improvement Gloucestershire PCCAG

  30. The audit cycle Problem or objective identified Criteria agreed and standards set Make necessary changes Audit (Data collected) Identify areas for improvement Gloucestershire PCCAG

  31. The audit cycle Problem or objective identified Criteria agreed and standards set Re-audit Make necessary changes Audit (Data collected) Identify areas for improvement Gloucestershire PCCAG

  32. The audit cycle Problem or objective identified Criteria agreed and standards set Re-audit Make necessary changes Audit (Data collected) Identify areas for improvement Gloucestershire PCCAG

  33. Another way of expressing the audit cycle Gloucestershire PCCAG

  34. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered Gloucestershire PCCAG

  35. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance Gloucestershire PCCAG

  36. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance • Develop explicit standards Gloucestershire PCCAG

  37. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance • Develop explicit standards • Decide what needs to be changed Gloucestershire PCCAG

  38. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance • Develop explicit standards • Decide what needs to be changed • Negotiate change Gloucestershire PCCAG

  39. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance • Develop explicit standards • Decide what needs to be changed • Negotiate change • Mobilise resources for change Gloucestershire PCCAG

  40. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance • Develop explicit standards • Decide what needs to be changed • Negotiate change • Mobilise resources for change • Review and renew the process Gloucestershire PCCAG

  41. Criteria and standards Gloucestershire PCCAG

  42. Criteria and standards • Criteria are those aspects of care that you wish to examine Gloucestershire PCCAG

  43. Criteria and standards • Criteria are those aspects of care that you wish to examine • Standards are the pre-stated or implicit levels of success that you wish to achieve Gloucestershire PCCAG

  44. Structure, process and outcome Gloucestershire PCCAG

  45. Structure, process and outcome • Structure refers to resources you have available (including current knowledge, skills and attitudes) Gloucestershire PCCAG

  46. Structure, process and outcome • Structure refers to resources you have available (including current knowledge, skills and attitudes) • Process refers to what you actually do, e.g. a protocol Gloucestershire PCCAG

  47. Structure, process and outcome • Structure refers to resources you have available (including current knowledge, skills and attitudes) • Process refers to what you actually do, e.g. a protocol • Outcome refers to the health benefits, cost effectiveness or patient satisfaction Gloucestershire PCCAG

  48. The great coffee audit Gloucestershire PCCAG

  49. Problem The doctors feel that their coffee isn’t hot enough after slogging through morning surgery The great coffee audit Gloucestershire PCCAG

  50. Problem Criteria The doctors feel that their coffee isn’t hot enough after slogging through morning surgery The coffee shall be hot and satisfying to the hard pressed docs The great coffee audit Gloucestershire PCCAG

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