Group 10 Audit-1.pptx

Audit

1. Group Members 1.Yvette S.A. Adhiambo BSN-1-8238-2/2019 2.Zephaniah Sigei BSN-1-8239-3/2017 3.Anderson Saeta BSN-1-9799-3/2016 4.Ian Muli BSN-1-9803-3/2016 5.Grace Lilian Adhiambo BSN-1-8190-3/2018 6.Njeri Monica Wairimu BSN-1-8099-2/2018

2. Objectives: Definition of nursing audit Essential characteristics of a nursing audit Types of audit Types of auditors Purposes of nursing audit Methods of nursing audit Audit cycle

3. NURSING AUDIT Is a detailed review and evaluation of selected clinical records by qualified professional personnel to ident,examine or verify the performance of certain specified aspects of nursing care. Thus it identified deficiencies in the patients condition or status and lacking properties of the nursing service that may have led to deficiencies.

4. Types of Audit 1.Financial audit-It is historically oriented,independent evaluation performed for the purpose of attesting to the fairness,accuracy and reliability of financial data. 2.Operational audit-Future oriented,systematic and independent.Evaluates organizational activities . 3.Department review audit-It evaluates the adequate of controls,safeguarding of assets, efficient use of resources, compliance with related laws and regulations. 4.Intergrated audit-Is a combination of an operational audit, department review and audit application controls review.

5. Ct. It allows for a very comprehensive examination of a functional operations. 5.Investigative audit-Takes place as a result of report of unusual activity on the part of an individual or a department.It is usually focused on specific aspects of the work of a department or individual. 6.Follow-up audit-Designed to evaluate corrective action that has been taken on the audit issues reported in the original report.

6. Types of Auditors Internal Auditors-Are external auditors who are employees of the organization who perform the auditing process. External Auditors-Qualified persons who have to certify the annual profit and loss account and prepare a balance sheet after careful examination of the relevant books of accounts and documents.

7. Purposes of Nursing Audit Evaluating nursing care given Contributed to research Focuses on the care provided and on care provider Reviews the quality of nursing care Facilities more efficient use of health resources. Helps in designing response orientation and in service education programme It clearly communicated standards of care to surbodinates

8. Essential Characteristics of Nursing Audit Written standards of care against which to evaluate nursing care Evidence that the actual practice was measured against such standards, sharing a percent performance rate Examination and analysis of findings Evidence of corrective action being taken Evidence of effectiveness of corrective action Appropriate reporting of the audit

9. Methods of Nursing Audit 1.Retrospective review-In depth assessment of the quality of care after the patient has been discharged It uses the patients chart as the source of data,as nursing care is reflected in the patient care records for discharged patients. Advantages Gives a total picture of care given

10. Ct. Helps in comparison of the actual practice to standards of care Analyzes actual practice findings More accurate data for planning corrective action Disadvantages The clients problems are identified after discharge The focus of evaluation is directed away from ongoing care

11. 2.Concurrent Audit Performed during ongoing nursing care. The evaluation are conducted on behalf of patients who are still undergoing care. It includes assessing the patiently the bedside in relation to pre-dertemied criteria, interviewin the staff responsible for this care and reviewing the patients records and care plan.

12. Advantages Indications of problems at time of care Provision of mechanism for identifying patients needs during care. Provision of a mechanism for communicating on the behalf of a patient.

13. Disadvantages Time consuming Costly to implement than retrospective

14. Audit Cycle

15. Audit Committee Prior to any audit committee formation,have at least a team of five members with interest in quality assurance,clinical competent and be team player. Maximum of 10 patients each month is recommended and auditor should spend around 15 minutes in each patient

16. Audit as a Tool for Quality Control outcome audit End results of care,it determines the results that occurred as a result of specific nursing intervention. Example of outcome audit is duration of hospital stay. Process audit Show how care was carried out,its task oriented and focuses on whether or not practice standards was fulfilled.It assumed that a relationship between quality of nursing and quality of care given

17. Structure audit It monitors the setting in which patient care occurs, it assumed the relationship exist between quality care and appropriate structure .Examples are finance and nursing records.

18. Roles and Functions of a Nurse Manger Roles Encourages the care gives to be involved actively in quality control process. Communicates the standards of care to subordinates. Encourages setting of the high standards. Implement quality control pro-actively. Acts as a role model in the accountability.

19. Functions Collaborates with other personnel in setting standards. Assess appropriate sources of information Measure employee performance by using the quality control Helps in implementing of current government standards and regulation to keep quality control.

20. Advantages of of Nursing Audit Better planning can be done Provides re-allocation of resources Brings re-assurance of patient care Disadvantages It's time consuming Deals with large amount of information Overlapping of components making analysis difficult

21. References: Jamal S Jogelkar. Hospital management, professional adjustments and trends in nursing BT Basavanthappa. Nursing Administration New Delhi:Jaypee Brothers:2002 G Johnston Reviewing audit:barriers and facilitating factors for effective clinical-audit. J. Quality in Health care. 2000:9:23-36