1. TITLE OF AUDIT Author Date of presentation

2. Background  Why did you do the audit? eg. high risk / high cost / frequent procedure? Concern that best practice not being followed?  Include summary of any previous work done locally or elsewhere on this topic  Literature reviewed, including description of local protocols if appropriate  Staff involved in audit and what role they played in project

3. Audit Aim Broad statement, expressed in terms of the question you are seeking to answer, or the result you are intending to bring about E.g. “To improve management of patients with pressure sores” OR “Are we following UBHT guidelines for management of patients with pressure sores?”

4. Objectives The sub-steps necessary to achieve your aim e.g. 1) to compare local practice to guideline 2) to implement changes to practice if necessary

5. Standards Goals that define best/ideal practice that we should aim to achieve - derived from published guidelines, search & appraisal of research evidence or locally agreed best practice, e.g. 100% of patients should be seen within 30 minutes of their appointment time Exception - patients who are late for their appointment

6. Methodology  Sample (How was sample determined? How many patients? How identified, eg. what codes used to identify on computer system?)  How & when was data collected?  Any problems collecting data, eg. missing notes? (state how many)  Method of data analysis

7. Results  Present results against standards, e.g. 30/50 cases met criteria for standard 1, and 10 met exception criteria => 40/50 (80%) met standard  Use numbers & percentages and/or charts – whichever displays information most clearly. Ensure you state how many subjects were included - ‘n’ number  Keep your message clear - don’t include excess information or use too many graphs  Don’t identify individual staff or patients

8. Conclusions  List of key points  Any conclusions must be supported by the data presented in results section

9. Discussion E.g.  problems noticed in process of care - how these could be prevented?  limitations of the study

10. Recommendations for Improving Care  List of suggestions for improving practice  Discussed with view to forming detailed action plan (next slide - can leave in presentation as reminder to cover points)

11. Action Plan  What actions? (from recommendations or discussion)  Who will be responsible for each action?  When should these actions be completed by?  Is a re-audit needed? When should this be done (e.g. 6 months after action plan completed) and who will be responsible for leading re-audit?

12. References  Optional but may be asked about  Use standard & consistent format, e.g. Smith A B (1999) ‘Reducing waiting times in Outpatient Clinics’, BMJ Vol 500: 100-101.