This website uses cookies to ensure you have the best experience. Learn more

Clinical Audit Essay

2662 words - 11 pages

In this assignment the author will address the process of clinical audit, and will discuss the clinical audit process relating to one aspect of care delivery, along with how clinical governance can influence the quality of healthcare for patients. The audit topic chosen is phosphate enema administration from a patient's perspective. Using Gibbs model of reflection (Gibbs 1988) the author will reflect on her experience of the audit carried out on a practice placement, and will produce results of this audit. This assignment will also consider the relationship between clinical audit and the wider framework for quality improvement in healthcare.The author has changed the names of any clients ...view middle of the document...

Additionally, audit topics may be recommended by national bodies, such as the National Institute for Clinical Excellence (NICE) or the Healthcare Commission, which the NHS Trust has agreed to participate in. Ethical issues must also be considered, the data collected must relate only to the objectives of the audit, and staff and patient confidentiality must be respected, identifiable information must not be used.The author used a benchmark to set standards for this audit; a benchmark is "a standard by which something is evaluated or measured" (Martin 2004). This is advocated in the Department of Health (DoH) document, The Essence of Care (2003). Which includes the background to Essence of Care, a description of the benchmarking tool, how to use the benchmarks and record forms for developing action and business plans. Nine sets of benchmarks are also included. It is intended that health and social care personnel use this document to address issues of concern within their areas of work and to improve services already provided.A new benchmark, was added to this document in 2003. Promoting Health, This new benchmark provides a framework for shifting the focus from treating ill health to ensuring promoting healthier life choices is firmly embedded in all good patient care (DoH 2003). The Essence of Care benchmarking is a process of sharing and developing practice in order to achieve best practice, (DoH 2003). The stages involved in benchmarking are highlighted in appendix 3.The author considered two procedures as a benchmark for her audit, Dougherty, & Lister, (2004) (appendix 4), and the Guidelines for the administration of medicines (NMC 2004). Both procedures advocate enemas to be the best evacuation procedure for certain bowel surgery. For example, a flexible sigmoidoscopy, the colon and rectum must be completely empty for flexible sigmoidoscopy to be thorough and safe, unless the bowel is empty of stools, the test can be limited and may need to be repeated at a later date. Right before the procedure, you may also be given an enema, which is a liquid solution that washes out the intestines (International Foundation for Functional Gastrointestinal Disorders, 2002).The first step in the audit was to compile a questionnaire (appendix 5), which consisted of five simple questions that the author thought would most reflect a patient's perception of the enema procedure. The next step in the audit was to consider the results (appendix 6) and to justify any problems that had arisen, and put forward to the ward manager for her consideration any changes that the author could advocate. The results themselves outlined only one problem with the procedure on the ward, which was that four out of ten patients were not shown where the toilets where. This in the author's opinion was a major problem. The author reports that several other important issues were brought to light, not by the questions themselves but by the author's observation of the procedures these...

Find Another Essay On Clinical Audit

Integrated Governance: Health Policy Essay

2443 words - 10 pages more carefully, and lead to early detection, producing a positive outcome for the benefit of the future healthcare service as well as its users (Sud & Gorman, 2008). The impact of the audit process: The audit process impacts nursing practice and clinical outcomes as well as patient experience and safety. Through audits carried out on nutritional screening tools, in line with NICE audit requirements, the impact of conducting such an audit

Impact of Meaningful Use Essay

1045 words - 5 pages 1 meaningful use in my clinic was a difficult process to complete. Change, in many forms, was necessary to reach the pinnacle of achievement. This paper attempts to outline the alterations made in our clinical workflow to meet Meaningful Use Stage 1. Front office staff began by making changes to our patient information update pages. Patients were asked to complete the form upon their first visit of the year. Demographic data supplied on the

A Review of Leadership in Nursing related to Clinical Nursing Practice

1993 words - 8 pages initiatives in practice includes clinical audit, risk management, user involvement, evidence based practice, continue professional development, management of inadequate performance & team building and team review (Hillward & Bryan, 2005). Studies and researches show that leadership is a major issue in the nursing profession and it is important to improve nursing practice for better patient outcomes and quality of care given. It was in this context I

Risk Management Issue

1536 words - 6 pages Nursing Clinical Quality Committee began auditing five charts per month. The audit includes a series of questions aimed at getting to essential information needed. Information is then used to help identify successes and opportunities for improvement.The facility has several inpatient units that have been testing different ways to improve the medication reconciliation processes and outcomes. One of the telemetry units's focused on improving the

therapeutic framework diabetes

4842 words - 19 pages following:Px's with Lactic AcidosisProtein in urineSE's with my profile medicinesType 2 px's requiring insulinDiabetes in pregnancyFootcare complications and diabetesPatient and clinical monitoring: Will achieve this by educating the Px on diagnostic testing and explaination of results.I will also enrol Px's onto the local diabetes forum, who provide support, information and for them to meet like minded people.I will audit the clinical initially on

Keeping Current with Nursing Informatics Affairs

753 words - 4 pages As the Nursing Informatics (NI) Master’s degree program draws closer to an end, this author begins to think towards current real-world issues in NI, as well as how they can be addressed with the Walden spirit of positive social change. Frequent perusal of the Fierce Healthcare website allows readers to become and remain familiar with current issues in clinical and nursing informatics. The purposes of this paper are to summarize articles found

The ICU as an Effective Learning Environment

1879 words - 8 pages . Hannafin, Land & Oliver (1999) described learning environment as a typically constructivist in nature, engaging learners in “sense-making” or reasoning about extensive resource set, including four components which are enabling context, resources, a set of tools and scaffolds. This paper is going to discuss the significance of my clinical area as a context for learning and how myself as practitioner can give to an effective learning

Critical Esay

1701 words - 7 pages patients presenting with chest pain should be administered high concentration oxygen” (Cabello et al., 2011, p. 923). In addition to a disparity in worldwide guidelines, there is clinical evidence that oxygen is casually and inconsistently administered (Amsterdam, Hughes, Demaria, Zelis, & Mason, 2007). A 2010 audit of 20 cardiology patients, by Garg and Lagan found numerous issues and defects with respect to oxygen indication, mode of delivery

Hazardous Drinking and Sexual Assault

4703 words - 19 pages been using alcohol when the incident occurred. In addition, of the 334 female victims in their study they found that fifty-two percent exceeded the cutoff score on the Alcohol Use Disorders Identification Test (AUDIT) (Babor, Higgins-Biddle, Saunders, & Monterio, 2001). Littleton et al. (2009) also found that unacknowledged victims compared with acknowledged victims had significantly higher scores on the AUDIT, which measures hazardous drinking

Nursing informatics today

633 words - 3 pages advantages. It allows nurses and other medical professionals to retrieve, monitor, and analyze clinical information for each patient. Because it is now capable for all information to be put into a network of databases, there is no longer a paper trail of health records which means information has a greater chance of not being misplaced. Through health informatics, some labor-intensive medical procedures can be automated, thereby saving health care

Exploring Evidence Based Practice

3650 words - 15 pages questions. The ODP needs to be aware of the research that is being conducted and understand the principles that underpin the review and ensure that they adhere to them. Non-adherence to the principles could impact the results and effect the results making the trial useless and biased. Audits The National Institute for Clinical Excellence (NICE) defines clinical audit as a quality improvement process that seeks to improve patient care through a

Similar Essays

The Indications For Etoricoxib Use In Beachdale Surgery: A Clinical Audit 2013

1627 words - 7 pages inhibitors such as ‘Rofecoxib’ and ‘Valdecoxib’10. Additionally, it showed that Etoricoxib was more efficacious in comparison to the placebo. Clinical and pre-clinical trials have consistently shown that Etoricoxib has a greater gastrointestinal tolerability. Etoricoxib also has similar efficacy when compared with other traditional drugs in the study, and it was generally well tolerated in the studies. No new safety findings were discovered

What´S An Audit? Essay

682 words - 3 pages An audit is used to check and assure that the processes and methods used in a clinical laboratory comply with the required standards and to persistently improve the service provided for the service users. The International Organization for Standardization – ISO9001 – defines an audit as “A systematic and independent examination whether quality activities and related results comply with planned arrangements and whether these arrangements are

Clinical Guidelines Essay

1121 words - 5 pages even improve the quality of care therefore an array of tools have been used to achieve this. Inter alia, the development, implementation and monitoring of clinical guidelines, implementation of clinical governance and clinical audit, implementation of Diagnosis Related Groups (DRGs), restructuring of the public hospitals, and reforming of the Healthcare system introducing a universal coverage and with the concept of a gatekeeper general/family

What´S Knowledge Translation? Essay

1517 words - 7 pages and Fineout-Overhold (2005) suggest that during clinical rounds, the experts or clinicians make recommendations to the staff for clinical practice on the basis of the critically appraised evidence. Therefore, evidenced based clinical round is a method of knowledge transfer to the clinical staff by presenting evidence to guide their practice. Evaluation Methods-  Clinical audit  Evaluative reflective practice  Quality improvement techniques