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Presented by-

M.Sc. Nursing Final Year

Student

CON,Jaipur

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INTRODUCTION-

An audit is systematic and officialexamination of a record, process or account toevaluate performance. Auditing in health careorganizations provides managers with a mean ofapplying the control process to determine thequality of services rendered.

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NURSING AUDIT-

Nursing audit is anevaluation of patient care throughanalysis of the nursing recordsmaintained by nurses in patients care.It is also defined as the basic form ofquality data collection in patient care.

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OBJECTIVES OF NURSINGAUDIT-

To justify the cost occurred on

human and material resources. To take remedial actions towards

cost effectiveness.

To evaluate excellence of

nursing practice. To revise and plan standards of

nursing care.

To avoid external audit being

imposed on the profession fromoutside, it means to avoidanticipatory problems if externalaudit is done.

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TYPES OF AUDIT-

According to the timing of audit-

Retrospective audit

Concurrent audit

Prospective audit

On the basis of personnel perspective-

Internal audit

External audit

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STEPS OF NURSING AUDIT-

Selection of topic for study.

Selection of explicit criteria for qualitycare.

Review of record to see if criteria forquality care met.

Peer review of all cares that do notmeet criteria for quality care.

Specific recommendation to correctdeficiency such as staff developmentprogram ,change in procedure etc.

Follow up the topic to see thatproblems have been eliminated.

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METHOD TO DEVELOP CRITERIA-Set standard

Implement change Observe practice

Compare with standard

( Audit Cycle )

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NURSING AUDIT TEAM-

Composition of audit

team comprise about 5-6 members. Nursing administration

Nursing services

Nursing education

Nursing specialist

Clinical nurse

ELIGIBILTY- Minimum 5 members whoare interested in quality assurance andclinically competent are able to worktogether in group.

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ADVANTAGES OF NURSING AUDIT-

Can be used as method ofmeasurement in all areas of nursing.

Seven functions are easily understood.

Scoring system is fairly simple.

Result easily understood.

Assess the work of all those involved inrecording care.

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DISADVANTAGES OF NURSING AUDIT-

Appraises the outcomes of nursing process, so it isnot useful in are where the nursing process has notbeen implemented.

Many of components overlap making analysisdifficult.

It is time consuming.

Requires a team of trained auditors.

Deals with large amount of information.

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