chica audit toolkit the audit process
TRANSCRIPT
Acknowledgements
CHICA-CANADA Audit Toolkit Working Group members:
• Anne Bialachowski• Karen Clinker• Mary LeBlanc• Shirley McDonald
Benefits of CHICA Membership
CHICA-CANADA membership with its protected password:
http://www.chica.org
• provides free access to all of the on-line and interactive audit tools as they are developed, as a privilege of membership (not available to non-members)
• promotes interest in CHICA membership
Benefits of CHICA Membership
Objectives
To describe key steps in the auditing process
To provide a brief overview of the CHICA Audit toolkit
Audit Process Steps
The steps in carrying out a successful audit include: 1. Prepare for the
audit
Pre-audit Preparation
Select a prepared auditor and area to be audited:• auditor must be
objective• must understand the
audit tool• must have the ability to
observe and assess practice
• can be an ICP and/or department staff
Pre-audit Preparation
Establish the audit methodology:• who are the
stakeholders (who gets the report)?
• establish scope of audit (e.g., all staff vs. some staff; all rooms on a unit vs. patient rooms)
• how is audit to be conducted (e.g., PDA vs. paper, time period)
Pre-audit Preparation
Select the criteria to be audited:• evaluate against
standards of practice• design data collection
tool• validate audit tool
OR• use CHICA’s audit tools!
Pre-audit Preparation
Utilize current best practices and standards:• CSA standards• provincial regulations
(e.g., OHS)• national guidelines (e.g.,
PHAC• provincial best practices
(e.g., PIDAC)• International guidelines
(e.g., WHO, CDC)• published literature
Audit Process Steps
The steps in carrying out a successful audit include: 2. Conduct the audit
by observing practice
Audit Process Steps
The steps in carrying out a successful audit include: 3. Post-audit follow
up and feedback
Post-audit
The Audit Summary Report
Post-audit Analysis• Using the Impact
Definitions (blue), determine which best describes the seriousness of the deficiency
• Using the Likelihood Definitions (yellow), determine which best describes the likelihood of the deficiency occurring in future if not dealt with now
Post-audit Analysis
Determine Risk Level
Post-audit Analysis After determining the Risk Level of the
deficiency, you (and stakeholders) are ready to look at:• recommended corrective action(s)
• level of involvement
• action timeline for resolution
Use the Risk Level Chart to assist you with action planning decisions
Post-audit AnalysisRisk Level Chart
Audit Process Steps
The steps in carrying out a successful audit include:
4. Re-audit to “close
the loop”
Questions ?
Thank you!