TAILIEUCHUNG - Undertaking a clinical audit project: a step-by-step guide

One problemI see time and time again isWho initiates the process— Audit, finance or operations? Hence this article! It may take a coordinated effort. Finance and IA understand controls but maybe not understand all the operating issues. Operations management may not be aware of the emerging field of CM software. Therefore the opportunity for IAs, with a broader focus on improving the business, to recommend specific CMapplications, is like low-hanging fruit, to impact the business in a positive way. Another issue is the time and cost of developing CM software systems. However, in the past decademany newsoftware solutions have been released. Auditors are well aware of ACL and IDEA; however, software. | Undertaking a clinical audit project a step-by-step guide How to use the step-by-step guide This chapter provides a practical step-by-step guide for carrying out a clinical audit project. The 10 stages in the clinical audit cycle are described together with the various activities for their completion. In order to demonstrate how each stage can be translated into practice a running example is provided of a clinical audit which is shown in a shaded box and abbreviated to Clinical audit on preparing families for assessment . The example is of a clinical audit project on The preparation of families by a multi-disciplinary team for their initial assessment appointment at a child and family psychiatry department This is a fictitious example aimed to help clarify the clinical audit process and is not intended as an ideal recipe . The clinical audit cycle Step-by-step guide The conventional way of presenting the clinical audit process is as a cycle . The clinical audit cycle used in this book see Fig. has 10 key stages each of which will be described in this chapter. Fig. Clinical audit cycle 7 After completing all of the stages of the clinical audit process the cycle should be repeated to assess whether changes in practice have resulted in standards being met. Clinical audits should involve more than one circuit of the cycle In terms of how many times you might complete the audit cycle two consecutive loops are generally seen as being enough Firth-Cozens 1993 . With the model presented as a circle it appears as if you could continue to audit the same topic forever. For this reason some people prefer to present the clinical audit process as a spiral of repeating cycles Goodwin et al 1996 . In order for the audit loop to be closed changes in practice should be implemented and then re-audited to ascertain whether improvements in service delivery have occurred as a result. Unfortunately these stages of the cycle are often omitted in clinical audit projects. 8 Stage 1

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