What Makes a Good Audit? Institute of Rural Health Care Advancing Quality in Primary Care

1. What Makes a Good Audit?Institute of Rural Health CareAdvancing Quality in Primary Care 10th March 2011 Introduction to Clinical Audit Presenter: Debbie Davies Primary Care Quality Nurse Co-ordinator

2. Why should you bother doing clinical audit? • Commitment to provide the best possible care • To support reflective practice • To improve change methodology • GMC professional requirement (GMP guidance) • NMC professional requirement • Appraisal and Revalidation • Continuing Professional Development What Makes a Good Audit?

3. Clinical Audit is………… “A quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change” Principles for Best Practice in Clinical Audit (2002, NICE) What Makes a Good Audit?

4. The audit cycle Select priority topic and set Aim and objectives Re-audit Criteria agreed and standards set Make necessary changes Audit (Data collected) Identify areas for improvement What Makes a Good Audit?

5. What makes a good audit? • A suitable topic • Agreed criteria (NICE etc) • Multidisciplinary approach • A pragmatic approach in terms of time and accessing data • Uncomplicated statistical analysis • Formulation of an action plan • Initiating change effectively What Makes a Good Audit?

6. Stage 1:What makes a good audit topic? What Makes a Good Audit?

7. Stage 1:What makes a good audit topic? • Is one with direct importance for patient care • Good-practice guidance has been issued by a professional or governmental body • There is significant clinical concern • Unsatisfactory outcomes have been reported –either incidents or complaints • There is new research evidence available on the topic • It is important to you or other members of the team What Makes a Good Audit?

8. Stage 2 What makes a good literature Review? • Formulation of an audit question and locating the evidence Developing criteria and ascribing standards • criteria/standards What Makes a Good Audit?

9. Stage 3 What makes good data collection • Retrospective or prospective data • Do not collect unnecessary data • Time limit and don’t deviate from audit aim • reliability and validity • Using appropriate data collection methods What Makes a Good Audit?

10. Stage 4 Analysis Do you need complex statistical analysis? Generally no, unlike research, most audits will not require heavy number crunching What Makes a Good Audit?

11. Stage 5 Change • Dissemination of audit results-Passive and active feedback • A consensus is essential in bringing about any changes • Effective management skills • Audit action plan What Makes a Good Audit?

12. In summary What makes a good audit? • A suitable topic • unambiguous agreed criteria (NICE etc) • Audits that are multidisciplinary • A pragmatic approach in terms of time and accessing data • Uncomplicated statistical analysis • Formulation of an action plan • Ensuring validity and reliability through • rigorous development of standards/criteria • Piloting data collection methods • Provide appropriate data collection training What Makes a Good Audit?

13. Contact Details debbie.davies9@wales.nhs.uk 01495-332313 Primary Care Quality and Information Team What Makes a Good Audit?