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Nursing Audit
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Nursing Audit
What is Audit ?
Cont……….
What is Nursing Audit ?
“is a quality improvement process that seeks
to improve care and outcomes through
systematic review of care against explicit
criteria and the implementation of change”
Describe the
Standard quality or level you should
For example:
Standard: 90%
Why Nursing Audit?
ØTo improve aspects of care in a wide variety of
topics.
ØUsed in association with changes in systems of
care.
ØTo confirm that current practice meets the
respected level of performance.
Principle
been
are still
discharged .
undergoing
care.
Nursing Audit cycle
1.Identify problem or issue
Select a topic that is important or
significant
This may come from personal experience.
A problem may be identified from every
day practice or
A feeling that something could or should
have been done better.
Cont…..
Problems can be identified in 3 basic areas of Practice work:
Structure - what you need.
This refers to the resources required, for example, the number
of staff and the skills they require, space and equipment.
Level of care
Exceptions None
Standard 100%
Definitions None
Criterion 1 Percentage of women offered evidence-based information about:
their pregnancy
the care they should be offered, including being made aware of the
Exceptions None
Settings All
Standard 100%
Definitions Women should be offered information to help them make informed decisions about their
healthcare. This should cover the pregnancy, maternity care and the health service
providing care. Information should be available in formats appropriate to the individual
woman, taking into account language, age, and physical, sensory or learning
disabilities.
Criterion 2 Percentage of partners or relevant family members offered evidence-based
information about:
the woman’s pregnancy
the care the woman should be offered, including being made aware of the
Settings All
Standard 100%
Definitions Partners and relevant family members should have the opportunity to be involved in
decisions about the woman’s care, unless the woman specifically excludes them.
What are the benefits of nursing
audit?
Improvements in practice: creating real
benefits in patient care and service delivery;
Develops openness to change;
Provide assurance: meeting evidence-based
best practice;
Listening to patients, understanding their
expectations;
Development of local guidelines or protocols;
Minimise error or harm to patients;
Reduce incidents/complaints/claims.
What are the disadvantages
of nursing audit?
Many of the components overlap making
analysis difficult
Is time consuming
Requires a team of trained auditor
Deals with a large amount of information
Only evaluates record keeping. It only
serves to improve documentation not
nursing care
Audit vs Research : A View
Audit Research
Compares actual performance against standards Identifies the best approach, and thus the sets the
standards
Conducted by those providing the service Not necessarily provided by those providing the service
Does not involve investigation of new treatments, but Involves comparators between new treatments and
evaluates the use of current treatments placebos
Involves review of records by those entitled to access Requires access by those not normally entitled to
them access them
Audit ensures
it is done right’.
Conclusion