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Clinical_Audit_Report_Template

The Clinical Audit Report Template provides a structured format for conducting clinical audits, detailing sections such as background, aims, methodology, results, conclusions, recommendations, and quality improvement plans. It emphasizes the importance of measuring against established standards and includes guidance on data collection and analysis. The template aims to ensure that audits are thorough, evidence-based, and lead to actionable improvements in clinical practice.

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Hassen Chuluke
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52 views2 pages

Clinical_Audit_Report_Template

The Clinical Audit Report Template provides a structured format for conducting clinical audits, detailing sections such as background, aims, methodology, results, conclusions, recommendations, and quality improvement plans. It emphasizes the importance of measuring against established standards and includes guidance on data collection and analysis. The template aims to ensure that audits are thorough, evidence-based, and lead to actionable improvements in clinical practice.

Uploaded by

Hassen Chuluke
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Clinical Audit - Report Template

Clinical Audit
Lead/Author(s):
Service Provider:
Key Stakeholders:
Service/ Specialty:
Title of
This should be the same as the title on the Proposal Form
Clinical Audit
Date of
Report
Distribution
Standard(s) / Clinical audit must measure against standards / guidelines; these should be
Criteria used: identified and the source included

Background & This is essentially narration, clarifying why the clinical audit was done. For
Introduction example, was the clinical audit prompted by being a high volume, high risk,
problem prone topic? The background should explain the rationale for doing
the clinical audit. Summarise the evidence base for the clinical audit topic,
giving any references at the end. If a team was convened to undertake this
clinical audit, include how this was organised and who was involved.

Aim(s) of the Explain what the clinical audit is trying to achieve; the aim and objectives
Clinical Audit should have been identified in the planning stage of the clinical audit.

Methodology To include:
• Chosen population

• How sample selected

• Retrospective, concurrent or prospective

• Sample size

• Describe tool used

State the chosen population for this study (for example, ‘patients referred to
the one-stop breast clinic for suspected cancer’) and then how the sample
was selected for the clinical audit. Specify whether a retrospective,
concurrent or prospective approach was used (for example, for a
prospective clinical audit, ‘the first 100 patients referred to the clinic starting
from 01/10/20’, or for a retrospective clinical audit, ‘all patients seen at the
outpatient clinic during July’). Describe how these patients were identified,
the sample size, the time period, and clarify how this was calculated or
agreed upon.

The data collection method should also be included, for example, ‘Data was
collected from patients’ case notes using a data collection sheet, or ‘a query
was run in ICT’. List who was responsible for data collection, when this
was done, and mention briefly the method of data input (if appropriate) and
analysis.
Results State the results.

Start with total number (n=00). Data may be presented visually (graphs, tables)

The number of subjects (for example, patients) included in the clinical audit
is the initial ‘n’ number. If data is incomplete, explain why, for example, it
might not be possible to find every set of patient notes.

How data is analysed depends upon the question/s to be answered. Ensure


to include the number and percentage of cases meeting each criteria of the
standard, making it clear what number is being taken a percentage of as the
‘n’ number may change at different points of the report, for example, 45/50
(90%) for criterion A and 81/90 (90%) for criterion B.

Conclusion(s) List key points that relate to the clinical audit findings.

List the key points that flow from the clinical audit results - use bullet points
and avoid long paragraphs. Ensure conclusions are supported by the data,
or if the data points to no firm conclusions, say so - don’t make claims that
are not supported by the evidence. Make objective, factual statements, not
subjective ones.

Recommendations for change should be made. Make sure these are


Recommendations
realistic and achievable.
& Quality
Improvement Plan
A quality improvement plan (action plan) should be agreed, stating what
changes will be implemented, who will be responsible for carrying them out
and when this will be done. If appropriate (i.e. changes are to be made), set
a date for a re-clinical audit to complete the clinical audit cycle.

References

Appendices

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