Title Page
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Department/Division
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Healthcare Facility
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Audit Lead
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Conducted on
Clinical Audit Cycle Checklist
Stage 1 (Preparation & Planning)
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Involve stakeholders
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Determine the audit topic
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Plan the delivery of audit fieldwork
Stage 2 (Selecting the Standard/Criteria)
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Identify evidence-based standard
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Specify audit criteria or measurable statements of what should be happening
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Set targets or expected performance levels
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Agree on acceptable exceptions (if appropriate)
Stage 3 (Measuring Performance)
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Carry out a short pilot of the data collection method
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Collect accurate, timely, and representative data
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Analyze data
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Draw conclusions
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Present results to department/division
Stage 4 (Implementing Changes)
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Share audit report
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Review areas for improvement and agree on priorities for action
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Identify appropriate interventions
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Develop quality improvement plan (if required)
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Identify persons responsible for each task/action and a reasonable timescale for completion
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Determine how and when progress will be measured
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Ensure that change is supported by those with the necessary authority to effect such change
Stage 5 (Sustaining Improvements)
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Monitor implementation of changes
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Report on the progress of implementation as required
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Re-audit to ensure changes have improved practice and decide if further audit procedures are required
Completion
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Additional Comments
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Audit Lead Name & Signature
