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Clinical Audit

Clinical Audit. Saudi Diploma in Family Medicine Center of Post Graduate Studies i n F amily M edicine. Presented by: Dr. Zekeriya Aktürk zekeriya.akturk@gmail.com www.aile.net. Clinical Audit and the Audit Cycle. What we are going to cover today. The audit cycle.

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Clinical Audit

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  1. Clinical Audit Saudi Diploma in Family Medicine Center of Post Graduate Studies in Family Medicine Presented by: Dr. Zekeriya Aktürk zekeriya.akturk@gmail.com www.aile.net / 29

  2. Clinical Audit and the Audit Cycle / 29

  3. What we are going to cover today • The audit cycle / 29

  4. What we are going to cover today • The audit cycle • Criteria and standards / 29

  5. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome / 29

  6. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome • An audit example / 29

  7. What we are going to cover today • The audit cycle • Criteria and standards • Structure, process and outcome • An audit example • Problems with audit / 29

  8. 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’ / 29

  9. 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 / 29

  10. Reactions to audit • Enthusiasm • Cynicism • Obligation • Doubt • Exhaustion / 29

  11. Types of audit • Managerial / 29

  12. Types of audit • Managerial • Financial / 29

  13. Types of audit • Managerial • Financial • Clinical / 29

  14. Types of audit • Managerial • Financial • Clinical Multi-disciplinary / 29

  15. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary / 29

  16. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Cohort based / 29

  17. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Cohort based Comparative / 29

  18. Types of audit • Managerial • Financial • Clinical Multi-disciplinary Cross boundary Cohort based Comparative Significant event based / 29

  19. Effective audit • An educational activity / 29

  20. Effective audit • An educational activity • Promotes understanding / 29

  21. Effective audit • An educational activity • Promotes understanding • Resource effective / 29

  22. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards / 29

  23. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change / 29

  24. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change • Source of information / 29

  25. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change • Source of information • Peer led / 29

  26. Effective audit • An educational activity • Promotes understanding • Resource effective • Raises standards • Promotes change • Source of information • Peer led • Involves patients / 29

  27. The audit cycle Problem or objective identified / 29

  28. The audit cycle Problem or objective identified Criteria agreed and standards set / 29

  29. The audit cycle Problem or objective identified Criteria agreed and standards set Audit (Data collected) / 29

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

  31. The audit cycle Problem or objective identified Criteria agreed and standards set Make necessary changes Audit (Data collected) Identify areas for improvement / 29

  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 / 29

  33. The audit cycle Problem or objective identified Criteria agreed and standards set Re-audit Make necessary changes Audit (Data collected) Identify areas for improvement / 29

  34. Another way of expressing the audit cycle / 29

  35. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered / 29

  36. Another way of expressing the audit cycle • Determine which aspects of current work are to be considered • Describe and measure present performance / 29

  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 / 29

  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 / 29

  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 / 29

  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 / 29

  41. 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 / 29

  42. Criteria and standards / 29

  43. Criteria and standards • Criteria are those aspects of care that you wish to examine / 29

  44. 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 / 29

  45. Structure, process and outcome / 29

  46. Structure, process and outcome • Structure refers to resources you have available (including current knowledge, skills and attitudes) / 29

  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 / 29

  48. 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 / 29

  49. The great coffee audit / 29

  50. Problem The doctors feel that their coffee isn’t hot enough after slogging through morning surgery The great coffee audit / 29

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