1. CHICA Audit Toolkit www.chica.org The Audit Process

2. Acknowledgements CHICA-CANADA Audit Toolkit Working Group members: Anne Bialachowski Karen Clinker Mary LeBlanc Shirley McDonald

3. Benefits of CHICA Membership CHICA-CANADA membership with its protected password: http://www.chica.org provides free access to all of the on-line and interactive audit tools as they are developed, as a privilege of membership (not available to non-members) promotes interest in CHICA membership

4. Benefits of CHICA Membership

5. Objectives To describe key steps in the auditing process To provide a brief overview of the CHICA Audit toolkit

6. Audit Process Steps The steps in carrying out a successful audit include: 1. Prepare for the audit

7. Pre-audit Preparation  Select a prepared auditor and area to be audited: auditor must be objective must understand the audit tool must have the ability to observe and assess practice can be an ICP and/or department staff

8. Pre-audit Preparation  Establish the audit methodology: who are the stakeholders (who gets the report)? establish scope of audit (e.g., all staff vs. some staff; all rooms on a unit vs. patient rooms) how is audit to be conducted (e.g., PDA vs. paper, time period)

9. Pre-audit Preparation  Select the criteria to be audited: evaluate against standards of practice design data collection tool validate audit tool OR use CHICA’s audit tools!

10. Pre-audit Preparation  Utilize current best practices and standards: CSA standards provincial regulations (e.g., OHS) national guidelines (e.g., PHAC provincial best practices (e.g., PIDAC) International guidelines (e.g., WHO, CDC) published literature

11. Audit Process Steps The steps in carrying out a successful audit include: 2. Conduct the audit by observing practice

12. Audit Process Steps The steps in carrying out a successful audit include: 3.Post-audit follow up and feedback

13. Post-audit The Audit Summary Report

14. Post-audit Analysis Using the Impact Definitions (blue), determine which best describes the seriousness of the deficiency Using the Likelihood Definitions (yellow), determine which best describes the likelihood of the deficiency occurring in future if not dealt with now

15. Post-audit Analysis Determine Risk Level

16. Post-audit Analysis  After determining the Risk Level of the deficiency, you (and stakeholders) are ready to look at: recommended corrective action(s) level of involvement action timeline for resolution  Use the Risk Level Chart to assist you with action planning decisions

17. Post-audit Analysis Risk Level Chart

18. Audit Process Steps  The steps in carrying out a successful audit include: 4.Re-audit to “close the loop”

19. Questions ?

20. Thank you!