AuditProjectPlan©KhalidG
halib2021
CLINICAL AUDIT PROJECT PLAN
Knowledge Transfer from Senior to Junior regarding Approach to
1. Audit Title: Emergency Cases at Gudele Hospital
2. Details of Audit Team
Name: E-mail: Phone:
Gorashey Aamer Redalbarry Gorashey1995@[Link] +60142042964
Ahmed
Abdulhameed Abdulsalam +249998990741
Mahdi Abdulhameedmahdi153@gmail.
com
Mojtaba A. Basbar +249 12 473 5336
3. Audit Supervisor:
Name: E-mail: Phone:
Dr. Khalid Ghalib info@[Link] +249912569966
4. Date plan completed: 25/11/2024
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5. Which of the following criteria does the Audit meet? (please tick all that
apply)
* Area of high risk Issue of local concern Other, please specify:
* Area of high National initiative
* cost Area of * Regional Audit
high volume *
6. Rationale for Audit:
Why is this audit needed and what are the expected benefits?
Knowledge transfer is a method of sharing information, abilities, and ideas across
different areas in the practice of medicine. This audit rationale is to encourage precision
and boost efficiency of the junior doctors with the guidance of their seniors.
[Link] do you plan to do with the results:
* Change practice based on problems * Identify areas for staff
* Improve documentation education Identify areas for
* Improve multidisciplinary working * patient education Decrease
* relationships Review * complaints in this area
guidelines/protocols Develop Decrease incidents/risk
guidelines/protocols
8. Based on your audit rationale how would you classify this audit?
This is an external must-do This is an internal Trust must-do
(e.g. National audit)
þ
(e.g arising from Trust objectives/ risks/
incidents/complaints/guidelines
compliance etc)
This a Division/Service priority þ This is an individual clinician
(e.g. part of Divisional or Team Service interest þ
improvement priorities) (e.g. personal interest, personal
development or as part of an
educational or training programme)
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9. What standards will be audited?
List the audit standards being measured for compliance
Define the measurable standards to be audited, identify any known
exceptions to the standard and include a target for compliance
All the Medical officers who work in the emergency department of Gudele Hospital must
apply the ATLS protocol on approaching any trauma patient in ER.
Target and Standard = 95% of trauma patients treatment based on the ATLS protocol.
Expectations = 90% of Trauma patients receive the treatment according to ATLS protocol.
10. Do the audit standards cover the practice of one or more professional
groups?
This is a Multi-disciplinary audit þ This is an Uni-disciplinary audit ¨
11. What methods will be used?
How will you carry out the audit e.g. retrospective case note review, sampling
method?
Prospective patients’ case notes
12. What is your planned sample size? (Total sample size and if
relevant any breakdowns by Teams/Services/Divisions to be included in
your audit sample)
Total Sample Size: Planned Sample Size:
All the Medical Officers who work in the Emergency 30 Medical Officer Doctors
Department of Gudele Hospital
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13. What is your planned project timetable?
Project Activity Person Estimate
responsibl d
e Completi
on Date
Audit tool and or other audit material to be Gorashey 3 days
completed by:
Data collection to be completed by: Mojtaba 7 days
Data entry to be completed by: Abdulhameed 3 Days
Data analysis to be completed by: Gorashey 2 days
Audit report to be completed by: Abdulhameed 2 days
Action plan to be completed by: Mojtaba 3 days
14. How will service users or carers be involved in this audit?
(If service users/carers are not involved are there any barriers to involving them?)
The service user will be involved by revising their notes to identify the treatment plan and
to implement the changes on the treatment the patients receive
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Clinical Audit Stages (HQIP –Health care Quality Innovation Partnership)
Stage1-Preparation and Planning (including for re-audit)
This involves selecting the topic of the clinical audit, ensuring that it is a priority agreed
by all those involved in the process and that the standards by which current practice is
measured against are
[Link],makingsurestructures,responsibi
litiesand timelines are in place and that it is properly resourced with all relevant
participants. Any financial costs associated with running the clinical audit should be
identified and agreed, with those responsible for enabling necessary changes in
practice committed and providing the necessary leadership.
Stage2-Measuring Performance
Adetailedmethodologyanddatacollectionprocessisdesignedandtested, including a
sufficient sample size and a clear and concise data set. Data are analysed using
appropriate statistical measurements and reported in a way that maximises the impact
of the clinical audit by ensuring that results are communicated effectively to all key
stakeholders.
Stage3-Implementing Change
Oncetheresultsof theauditandrecommendationsforchange
havebeenpublished,anactionplan should be produced to monitor implementation of
these recommendations.
Stage4-Sustaining Improvement (including re-audit)
After an agreed period, the audit should be repeated. The same strategies for
identifying the sample, methodsanddata analysisshouldbeusedto ensurecomparability.
The re-audit shoulddemonstratethat
thechangeshavebeenimplementedandthatimprovementshavebeenmade.
Furtherchangesmaythen be required, leading to additional re-audits.
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