TITLE OF AUDIT Date of presentation Name of project lead(s) Name of Audit Facilitator (if applicable)

Acknowledgements Acknowledge other staff involved in giving advice, data collection, etc. Patient Identification (ID) sheet The sheet is generated from the PAS system as part of the admission procedure. 56/57 (98%) had a patient ID sheet at the front of the folder, compared to 100% in 2006 The one case where the ID sheet was missing was on a patient admitted to MAC.

Background/Introduction Reason for doing audit Demographics if relevant – for example, no. of patients affected Current working practices

Objective Give a clear definition of the focus of the audit and what it was intended to achieve

Standards Give the title, date and originating body for the guideline/protocol you audited against Summarise standards State degree of compliance expected, e.g. 100% of patients State any categories excluded, e.g. patients with contra-indications

Method & Sample Describe the method you used to collect and analyse the data State the audit period State total patient population in period Describe sampling method and the planned number of cases to be audited

Results First, state how many cases/ patients you actually audited – give reasons for any that were not audited, e.g. notes not obtainable For patient surveys, state response rate (%)

Results Describe your results accurately, linking them to the standards and objective you set If a re-audit, compare your current results with the previous results Use bullet points, graphs or tables as appropriate Keep graphs and tables simple, so they can be read by your audience

Results – Tips for Graphs (1) Can be created in PowerPoint (in Format – slide layout menu, choose the Chart option) or copied & pasted from Excel To copy & paste: create graph in Excel using chart wizard create a blank PowerPoint slide (in Format – slide layout menu, choose the Title Only option) select and copy the graph, then in PowerPoint go to the Edit menu, and select Paste Special – Picture

Results – Tips for Graphs (2) Always state the base for the graph (number of cases/patients) Consider data labels showing values when you design the graph. If these make the graph too cluttered, have this information to hand when you present the audit

Example of graph To add

Limitations Describe any circumstances that may have limited the success of the audit, for example problems with data collection

Conclusions Summarise your conclusions based on your audit results. State if standards were met - fully/ partially/not at all Invite questions from audience at this stage

How can we improve? List your own suggestions for action – use the table on next slide as a framework Invite audience to contribute Prompt audience to fill the gaps, e.g. identify who is responsible for taking actions forward Agree timetable for re-audit, if indicated

Action plan Recommendation Action required Possible barriers to implementation Responsible person Timescale

References