Clinical Audits in Nursing

Whilst there has and continues to be widespread debate, the elements of clinical audit, research, continuing professional development and reflective practice are

Comprehensive assessments is the most valuable piece which allows Nurse Practitioners to know about the health risks, strengths and needs of their patients. Furthermore, the comprehensive assessment strengths the relationship between the Nurse Practitioners and their patients. From clinician-patients relationship, it helps a complete assessment to answer patients questions which in the long run help to achieve measurable goals and provide quality outcomes to the patients. Nurse Practitioners use comprehensive assessment approach to analyze, interpret, implement and follow up care to ensure their patients receive appropriate care and prevent inappropriate diagnosis. Comprehensive assessment is where the patients are encourage to

The late 1980s and early 1990s saw a major change of emphasis. Medical and later clinical audit became a requirement for hospital doctors working within the NHS. Clinical audit comprises: ‘the review of clinical performance’, ‘the refining of clinical practice’ and the measurement of performance against agreed standards or targets’ (QIS, 2005). Hospitals and community health

Evidence based practise is the integration of clinical expertise, patient preferences and the best research into the decision making process for patient care (Porter O Grady, 2010). (Sakett) The Nursing Midwifery Council (NMC). code of conduct implores nurses and midwives alike, to practice in line with the best available evidence, to ensure clinical treatment is administered based on up to date knowledge and are consistent with tried and tested methods. This is to ensure patient safety as well as the practitioners. (NMC, 2015).

Be the voice regarding importance of comprehensive health assessment, accurate clinical documentation and closing the quality gaps to improve patient experience and care.

Quality improvement is defined “as systematic, data-guided activities designed to bring about immediate improvement in health care delivery in particular settings”(Lynn et al., 2007, p 667) by utilising the Model for Improvement, which is not a replacement for one already used by the organisation. Instead, the model of improvement accelerates improvement of health care process and proved to be successful. It consists of two parts such as the three questions and the Plan-Do-Study-Act (PDSA) cycle of rapid change tool to determine if the change is an improvement (Institute for Healthcare Improvement, 2017).

Introduction A clinical audit is an approach used to determine if healthcare is administered in the most effective and appropriate manner whilst meeting internationally recognized standards. The National Institute for Health and Care Excellence (NICE)(1) recently updated published standards of care for management of Acute Upper Gastrointestinal bleed (UGIB). The medical records of eighty-seven patients who presented with an upper gastrointestinal bleed over a three month period from December 2013 to February 2014 to the Port of Spain General Hospital (POSGH) were audited. Results showed that recommendations in the NICE guidelines were followed accordingly. Acute upper gastrointestinal bleed (UGIB) can be defined as bleeding from a source (duodenum,

Use of due professional care, that is, whether the internal audit group has effective quality control

Esain, A. E., Williams, S. J., Gakhal, S., Caley, L., & Cooke, M. W. (2012). Healthcare quality improvement - policy implications and practicalities. International Journal of Health Care Quality Assurance, 25(7), 565-81. doi:http://dx.doi.org/10.1108/09526

I agree with you. In order to improve quality care, it is important to evaluate outcomes, structure and process. The six aims from the IOM should be considered when planning quality care and that is done in process and structure. There are times when outcome are positive but the process or structure might be poor.

Feedback Reflection When planning, implementing and evaluating care for clients like R, it must be done in accordance within national competency standards for nursing which include seven domains (Nursing and Midwifery Board of Australia 2016, p. 1-2). Given the extensive feedback provided by the facilitator, only few examples will be provided for each of these domains and how they were addressed and reflected upon during this case study. Firstly, demonstration of critical thinking and analysis were shown by accessing theoretical evidence-based resources (SA Health education packages/guidelines, credible online resources, medical textbooks) to improve clinical decision making and reasoning and improving practice to develop rationales for

Evidence based practice aims to provide the best possible evidence to the point of clinical contact ((Richardson-Tench and Elliott, 2010). Evidence based practise would be beneficial for

Medical auditors perform audits and reviews clinical documentations, physician billing records, administrative data, and coding records. They establish compliance within the industry regulations and maintain quality assurance. You can work at a medical facility along with other auditors, medical office managers or even an accountant.

Dr. Davies became involved while completing her studies at the university of Toronto. It is apparent that she had a passion to make a difference in healthcare and was determined to use nursing research to guide evidence-informed practice for better patient outcomes. Perhaps this is how all new researchers emerg but Dr. Davies was able to notice a trend, research the finding and then implementing these findings by applying research results to the clinical setting. Recognition for this achievement was given which further lead to Dr. Davies teaming up with Dr. Edwards to assist with evaluating best practice guidelines, an 11 year period was dedicated to improving the healthcare system by promoting best practice.

Supportive health professionals: doctors, midwives and nurses make all the difference between the success and failure of reviews 14,21.Success also depends on accountability of both care providers (frontline) and decision makers8,19. In an MPDR study that