Lead auditor: Proposing auditor: (sign declaration at the end of this form) Name & contact details of auditors: Note: Auditors must check the audit policies to ensure audit data tools reflect UHS policies. Name of standards, guidance or policy utilised in this audit: x guidance/Quality Standard (QS) NICE - Alcohol-use disorders: Diagnosis and clinical management of alcohol-related physical Standards complications 2010. CG100. . Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence 2011. CG115 NHS Litigation Authority Royal College guideline Essence of Care i.e. DOH Benchmarks x UHS policy / guideline X? New procedures / interventions -see UHS Policy National Confidential Enquiries National Service Framework x (please Other professional guidelines state):……BSG…………………………………………………… x Measure against evidence of best practice Adverse event Complaints issue Evidence High risk High cost x High volume based Other...potential for improving effectiveness, reflects an identified quality concern (NCEPOD) (evidence available to inform standards) .............................................. Within Care Group Cross-specialty x Trust-wide Is this audit: Interface between primary / secondary care Cancer Network x Case notes x Computer held records Patient Survey Staff Survey Data Source If case notes required, please complete the for Clinical Case notes Form” at “Request If a patient list is required, auditors should Disclaimer: It is your responsibility to check against Staffnet that this printout is the most recent version of this document. Most frequently, non-probability sampling techniques are used when there are resource and time constraints and the objectives of the audit are not to generalize the findings to a population. Examples of these are: a) purposive sampling; b) convenience sampling; c) quota sampling. Sample Sample size: (must state number) 10% per strata- max 50 per strata (are we going to need to wait for the overall data to give numbers?) Baseline is data from 1st January 31st March – 2015.
Lead auditor: Proposing auditor: (sign declaration at the end of this form) Name & contact details of auditors: Standards . Note: Auditors must check the audit policies to ensure audit data tools reflect UHS policies. Name of standards, guidance or policy utilised in this audit: x NICE guidance/Quality Standard (QS) - Alcohol-use disorders: Diagnosis and clinical management of alcohol-related physical complications 2010. CG100. Alcohol-use disorders: diagnosis, assessment and management of harmful drinking and alcohol dependence 2011. CG115 NHS Litigation Authority Royal College guideline Essence of Care i.e. DOH Benchmarks x UHS policy / guideline X? New procedures / interventions -see UHS Policy National Confidential Enquiries National Service Framework x Other professional guidelines (please state):……BSG…………………………………………………… Evidence based x Measure against evidence of best practice Adverse event Complaints issue High risk High cost x High volume Other...potential for improving effectiveness, reflects an identified quality concern (NCEPOD) (evidence available to inform standards) .............................................. Is this audit: Within Care Group Cross-specialty x Trust-wide Interface between primary / secondary care Cancer Network Data Source x Case notes x Computer held records Patient Survey Staff Survey If case notes required, please complete the “Request for Clinical Case notes Form” at If a patient list is required, auditors should Disclaimer: It is your responsibility to check against Staffnet that this printout is the most recent version of this document. Sample Most frequently, non-probability sampling techniques are used when there are resource and time constraints and the objectives of the audit are not to generalize the findings to a population. Examples of these are: a) purposive sampling; b) convenience sampling; c) quota sampling. Sample size: (must state number) 10% per strata- max 50 per strata (are we going to need to wait for the overall data to give numbers?) Baseline is data from 1st January – 31st March 2015.