Www.mrcogcourses.co.ukMr K Sharif FRCOG, MD, MFFP Audit.
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www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP Audit Audit
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Transcript of Www.mrcogcourses.co.ukMr K Sharif FRCOG, MD, MFFP Audit.
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
AuditAudit
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Audit:Audit:
Systematic and critical Systematic and critical analysis of the quality analysis of the quality of care provided in a of care provided in a
certain ‘topic’certain ‘topic’
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Audit vs ResearchAudit vs Research
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
‘‘What is the right What is the right thing to do in a thing to do in a
certain situation?certain situation?’’
Should we give steroids Should we give steroids in cases at risk of in cases at risk of preterm delivery?preterm delivery?
Research:Research:
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
‘‘Are we doing the right Are we doing the right thing in a certain thing in a certain
situation?situation?’’
Are we giving steroids Are we giving steroids in cases at risk of in cases at risk of preterm delivery?preterm delivery?
Audit:Audit:
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Steps of AuditSteps of Audit
• Choose a topic• Agree standards• Measure current practice• Compare with standards• Reasons for deviation• Implement changes• Re-audit
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Choosing an audit Choosing an audit topictopic
• Narrow focus
• Important (pt)
• Well researched/ consensus
• Amenable to change
• Feasible
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Agreeing StandardsAgreeing Standards
• Process vs outcome
• Process = outcome
• Evidence-based
• Amenable to change
• Feasible
• ?%
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Measure PracticeMeasure Practice
• Review casenotes
• Patient questionnaire
• Sample size
• Computerised data
• Audit Department
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Compare Practice Compare Practice with Standardswith Standards
•Audit Department
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Reasons for Reasons for deviationdeviation
• Too good to be true
• Don’t know
• Don’t do
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Organisational Organisational failurefailure
vsvsIndividual failureIndividual failure
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
ChangeChange
• Multidisciplinary
• Involve ground staff
• Lead by example
• Be realistic
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Re-auditRe-audit
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
Choose topic
Agree standard
Measure practice
Compare practice
Implement change
Re-audit
www.mrcogcourses.co.uk Mr K Sharif FRCOG, MD, MFFP
AuditAudit
