Destination perfection - how do we take stock & assess our own - PowerPoint PPT Presentation

Destination perfection - how do we take stock & assess our own performance? aka THE JOYS OF AUDIT

What comes to mind? ? OR  A ngst  A ppropriate  U nappealing  U ncomplicated  D ry & Dusty  D irect  I nterminable  I nteresting  T ough  T ry it!

Groundrules  Make it relevant  Keep it simple  Data retrievable & easily processed  Inspiring better care & service  Keep it short - < 3000 words  Monitor and review changes made  Transparent, not judgmental  Not about name, shame, blame

What to choose  Audit can include assessment of structure of care, process of care, outcome of care  Standards-based audit - is our practice "up to scratch"?  Adverse occurrence/critical incident monitoring - how can we do it better?  Peer review  Patient surveys & 360 degree reviews

Heroine of Audit "Florence Nightingale by Kilburn c1854" by Kilburn

History of Audit If she can, so can you!  One of first clinical audits was undertaken by Florence Nightingale in 1854: applied strict hygiene rules in Scutari Barracks Hospital to bring down appalling mortality rates from 40% to 2% - involved documenting statistics, introducing methodical changes and communicating improved outcomes.

ELEMENTS OF AUDIT  Criteria chosen - explicit statement defining an outcome to be measured  Reflection on current FFLM guidance/literature search/agreed protocols  Standard setting e.g. X% of clients should have been offered ISVA referral. Minimum, ideal & optimum standard - what can realistically be expected?  Results  Interpretation  Proposed change  How to assess implementation of change - audit cycle

AUDIT as CIRCLE or SPIRAL  identify issue,  establish best practice,  measure against criteria,  take action to improve care,  monitor to sustain improvement  re-audit  respect patient & staff confidentiality

Audit Cycle

Examples Tools  Risk assessment for self harm,  Home Office data mental health, capacity: what %  Inspection of notes of notes recorded these?  Significant events audit - errors  Use of Foley catheter to and successes - document demonstrate adolescent hymen event, discussion, learning  Analysis of toxicology results points and action where claims made of spiked  Who can help with data drinks collection?  How decisions made about  FFLM for Audit factsheet and timing of child examination Guidelines for good practice  Risk Register

Have a go  Take 2 minutes to decide on a possible audit topic for you to undertake  Form a group of 6-8 with mixed professions if possible  Discuss how to plan your audit  What are the potential barriers?  How do you communicate your results to wider team?  What to do if change not effected or maintained