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

Destination perfection - how do we take stock & assess our

• wn performance?

aka THE JOYS OF AUDIT

What comes to mind?

?

• A ngst
• U nappealing
• D ry & Dusty
• I nterminable
• T ough

OR

• A ppropriate
• U ncomplicated
• D irect
• I nteresting
• 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

• 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. If she can, so can you!

ELEMENTS OF AUDIT

• Criteria chosen - explicit statement defining an
• utcome to be measured
• Reflection on current FFLM guidance/literature

search/agreed protocols

• Standard setting e.g. X% of clients should have been
• ffered 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,

mental health, capacity: what %

• f notes recorded these?
• Use of Foley catheter to

demonstrate adolescent hymen

• Analysis of toxicology results

where claims made of spiked drinks

• How decisions made about

timing of child examination

• Home Office data
• Inspection of notes
• Significant events audit - errors

and successes - document event, discussion, learning points and action

• Who can help with data

collection?

• FFLM for Audit factsheet and

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