Clinical audit may 2011 nes pharmacy
description
Transcript of Clinical audit may 2011 nes pharmacy
![Page 1: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/1.jpg)
Clinical Audit
NHS GG&C Community Pharmacy Clinical Governance Audit Facilitator Team
November 2010
![Page 2: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/2.jpg)
Programme
• Objectives• Definitions• Why audit?• Process• Examples• Future direction• Questions
![Page 3: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/3.jpg)
Objectives• Define the term audit • Describe the audit cycle• Explain the difference between audit and
research• Define appropriate criteria & standards for a
criterion audit• Awareness of how completion of the NES
criterion audit can contribute to CPD
![Page 4: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/4.jpg)
Audit definition: National Institute for Clinical Excellence (NICE)
• Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. Aspects of the structure, processes, and outcomes of care are selected and systematically evaluated against explicit criteria. Where indicated, changes are implemented at an individual, team, or service level and further monitoring is used to confirm improvement in healthcare delivery.
![Page 5: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/5.jpg)
Audit versus Research
• Audit seeks to determine that we are doing what we should be doing
• Research seeks to determine the right thing to do
![Page 6: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/6.jpg)
Why do audit?
• Educational• Improve practice• Improve patient care• Gain NES hours (NES criterion audit )• Demonstrate CPD • Build teamwork• Quality improvement culture
![Page 7: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/7.jpg)
Audit cycle
define criteria/standards
implement change measure practice
compare with criteria/standards
![Page 8: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/8.jpg)
Audit spiraldefine criteria/standard
assess local practice
compare practice with criteria/standard
reaudit
repeat audit
![Page 9: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/9.jpg)
Getting started : choosing a topic
• National priority• Evidence base• Common theme – compliance aids
• High risk – methotrexate
• Change in practice – new development/evidence
• Clinical concern/problems – risk of ADRs, interactions
• Potential for change• High cost
![Page 10: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/10.jpg)
Getting Started…..
• Who to involve ….get everyone on board from the
start
- Ethical Approval ….may be required…….ASK
![Page 11: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/11.jpg)
Definitions
• Structure: - refers to the input of care such as manpower, premises and facilities
• Process: - refers to the provision of care (looking at what is done and how it is done)
• Outcome: - refers to the result of clinical intervention
![Page 12: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/12.jpg)
Definitions - criteria & standards • A Criterion is an item of care or some
aspect of care that can be used to assess quality. It is written as a statement
• A Standard describes the level of care to be achieved for any particular criteria
![Page 13: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/13.jpg)
Preparation and Planning
Describes how the audit was • prepared • Planned• Who helped• Who you discussed it with etc.
![Page 14: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/14.jpg)
Data Collection
• Identify what data needs to be collected
• How and in what form • Who is going to collect it • Only collect essential information
![Page 15: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/15.jpg)
Process
• Assess performance v criteria and standards• Analyse data• Identify and describe changes• Identify best format to present findings• Prepare executive summary• Add to CPD record• Identify target audience to share
![Page 16: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/16.jpg)
Hot tips
• Don’t make ambiguous statements • Keep the task focused on the audit project • Refer to the literature indicating current
practice • Choose criteria & standards in line with
current practice • Ensure criteria and standards are based on
fact • Involve the whole team
![Page 17: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/17.jpg)
Examples of some projects
• Fridge audit• Controlled drug prescription audit• Osteoporotic treatment• Sun safety awareness• Oxygen audit• Balance audits• Aspirin and clopidogrel
![Page 18: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/18.jpg)
Future direction
- Useful links• http://www.clinicalgovernance.scot.nhs.
uk/• http://www.clinicalaudit.mvm.ed.ac.uk/• http://www.nes.scot.nhs.uk/pharmacy/c
pd/audit/default.asp
• Projects• Conferences• Publications
![Page 19: Clinical audit may 2011 nes pharmacy](https://reader036.fdocuments.in/reader036/viewer/2022081518/55398c674a7959f66c8b498b/html5/thumbnails/19.jpg)
And finally…….any questions?