TITLE OF AUDIT

1
TITLE OF AUDIT

• Author
• Date of presentation

2
Background

• Why did you do the audit? eg. 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
• Staff involved in audit and what role they played
  in project

3
Audit Aim

• Broad statement, expressed in terms of the
  question you are seeking to answer, or the result
  you are intending to bring about
• E.g.
• To improve management of patients with pressure
  sores OR
• Are we following UBHT guidelines for management
  of patients with pressure sores?

4
Objectives

• The sub-steps necessary to achieve your aim
• e.g.
• 1) to compare local practice to guideline
• 2) to implement changes to practice if necessary

5
Standards

• Goals that define best/ideal practice that we
  should aim to achieve - derived from published
  guidelines, search appraisal of research
  evidence or locally agreed best practice, e.g.
•  
• 100 of patients should be seen within 30
  minutes of their appointment time
• Exception - patients who are late for their
  appointment

6
Methodology

• 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, eg. missing notes?
  (state how many)
• Method of data analysis

7
Results

• Present results against standards, e.g.
• 30/50 cases met criteria for standard 1, and 10
  met exception criteria
• gt 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 - dont include excess
  information or use too many graphs
• Dont identify individual staff or patients

8
Conclusions

• List of key points
• Any conclusions must be supported by the data
  presented in results section

9
Discussion

• E.g.
• problems noticed in process of care - how these
  could be prevented?
• limitations of the study

10
Recommendations for Improving Care

• List of suggestions for improving practice
• Discussed with view to forming detailed action
  plan (next slide - can leave in presentation as
  reminder to cover points)

11
Action Plan

• What actions? (from recommendations or
  discussion)
• Who will be responsible for each action?
• When should these actions be completed by?
• Is a re-audit needed? When should this be done
  (e.g. 6 months after action plan completed) and
  who will be responsible for leading re-audit?

12
References

• Optional but may be asked about
• Use standard consistent format, e.g.
• Smith A B (1999) Reducing waiting times in
  Outpatient Clinics, BMJ Vol 500 100-101.