In addition to failsafe What Why How When This is what we recommend These are the reasons we are This is how you might This is how often we you do recommending this do this recommend you undertake the action/check Provide information and To ensure informed choice; we Record tests Date tests for Audit that the booklet ‘Screening ‘Screening offer screening; have have anecdotal evidence that the for you and your baby’ you and your baby’ is given was given evidenced by systems in place to: limitations of screening are not given in the maternity to woman records in the maternity record that each woman always communicated and/or notes/system notes/system is given tests ‘Screening understood e.g. screening is not annually for you and your baby’ 100%, is not diagnostic response: this row is for you to enter results or summarise whether you have these checks in place. If not, you can use this space to identify gaps and develop an action plan What Why How When In addition to failsafe This is what we recommend These are the reasons we are This is how you might This is how often we you do recommending this do this recommend you undertake the action/check Take sample and send to To ensure a fit for purpose sample Record samples Weekly Audit of repeat requests laboratory with completed and completed FOQ arrive at the and and rejected samples family origin questionnaire laboratory match against the annually (FOQ); have systems in place eligible population to: We have evidence from KPIs and Submit data on ST3 identify sample as screening safety incidents that (standard 3 completion antenatal in the laboratory screening is inaccurate, incomplete of family origin access hard copy or or delayed because: questionnaire (FOQ)) electronic FOQ quarterly
What This is what we recommend you do Why These are the reasons we are recommending this How This is how you might do this When This is how often we recommend you undertake the action/check In addition to failsafe Provide information and offer screening; have systems in place to: record that each woman is given ‘Screening tests for you and your baby’ To ensure informed choice; we have anecdotal evidence that the limitations of screening are not always communicated and/or understood e.g. screening is not 100%, is not diagnostic Record ‘Screening tests for you and your baby’ given in the maternity notes/system Date ‘Screening tests for you and your baby’ is given to woman Audit that the booklet was given evidenced by records in the maternity notes/system annually response: this row is for you to enter results or summarise whether you have these checks in place. If not, you can use this space to identify gaps and develop an action plan What This is what we recommend you do Why These are the reasons we are recommending this How This is how you might do this When This is how often we recommend you undertake the action/check In addition to failsafe Take sample and send to laboratory with completed family origin questionnaire (FOQ); have systems in place to: identify sample as antenatal in the laboratory access hard copy or electronic FOQ To ensure a fit for purpose sample and completed FOQ arrive at the laboratory We have evidence from KPIs and screening safety incidents that screening is inaccurate, incomplete or delayed because: Record samples and match against the eligible population Weekly Audit of repeat requests and rejected samples annually Submit data on ST3 (standard 3 completion of family origin questionnaire (FOQ)) quarterly
SCT_Checks_and_audits_template_v1_1.docx