The should measure Does the audit measure performance against performance against standards for process and standards for process and outcomes that are 3 outcomes that are based on the best available based on the best available evidence? evidence and is clearly referenced. Are the standards clearly referenced? 4 clinical audit should be carried out under the Has a named clinician been identified to lead leadership of a named clinician. If the named lead is the clinical audit? a junior doctor working on rotation, a more senior If the named lead is a junior doctor working clinician should oversee the project to ensure that it on rotation, has a more senior clinician been is completed and that the quality improvement aims nominated to oversee the project and ensure are met. that it is completed and that the quality improvement aims are met? 5 All clinical audits should be carried out in compliance Has the audit been undertaken in compliance with local governance arrangements, including local with local governance arrangements? Has it policy and protocols on proposing, registering, been: undertaking and reporting on clinical audits. Proposed and registered? Undertaken and reported? in accordance with local policy and protocols? 6 All aspects of the clinical audit must be carried out in Has the clinical audit been carried out in full full compliance with the law and best practice on compliance with the law and best practice on information governance and data security. This information governance and data security includes sample identification, data collection and with regard to: analysis. Sample identification?
3 The should measure performance against standards for process and outcomes that are based on the best available evidence and is clearly referenced. Does the audit measure performance against standards for process and outcomes that are based on the best available evidence? Are the standards clearly referenced? 4 clinical audit should be carried out under the leadership of a named clinician. If the named lead is a junior doctor working on rotation, a more senior clinician should oversee the project to ensure that it is completed and that the quality improvement aims are met. Has a named clinician been identified to lead the clinical audit? If the named lead is a junior doctor working on rotation, has a more senior clinician been nominated to oversee the project and ensure that it is completed and that the quality improvement aims are met? 5 All clinical audits should be carried out in compliance with local governance arrangements, including local policy and protocols on proposing, registering, undertaking and reporting on clinical audits. Has the audit been undertaken in compliance with local governance arrangements? Has it been: Proposed and registered? Undertaken and reported? in accordance with local policy and protocols? 6 All aspects of the clinical audit must be carried out in full compliance with the law and best practice on information governance and data security. This includes sample identification, data collection and analysis. Has the clinical audit been carried out in full compliance with the law and best practice on information governance and data security with regard to: Sample identification?
Resource12HQIPauditchecklist.docx