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Quality Audits
We follow a programme of internal audits of policies and procedures to identify issues with compliance, patterns that need to be addressed, or areas for improvement.
Audit type
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Checks carried out
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Clinical registration
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All clinical staff hold appropriate registrations and certifications.
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Health and Safety
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- Facility has a current building warrant of fitness.
- Evacuation plan in place in case of fire.
- Facility is secure and safe for staff.
- Maintenance and calibration of medical equipment completed
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Incidents and near misses
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- Documented and investigated at the time they occur.
- Discussed as part of clinical governance to identify areas for learning and actions that need to be taken.
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Managing Results and Clinical Correspondence
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- Protocols are in place and being adhered to.
- Inboxes cleared regularly and process is overseen by one person.
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Medicine Reconciliation
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- Medicine reconciliation is happening correctly and within target time frames.
- Discrepancies are being reduced.
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Screening and Recall
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Clinicians check patient dashboard consistently and offer brief interventions where appropriate.
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Patient complaints
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Complaints reviewed to determine:
- number of complaints received
- compliance issues
- patterns
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Patient feedback
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Quarterly patient feedback survey.
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Patient test results
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- All clinical correspondence reviewed and actioned
- All results and correspondence sighted by a practice clinician and added to patient record
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Recalls
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- All eligible patients contacted for recall.
- Effectiveness of the practice's screening and recall procedures regularly reviewed.
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Referrals
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- Referrals are sent and actioned by the appropriate provider.
- Significant referrals are checked and followed up by the referring clinician.
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Repeat prescriptions
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Sample of patients on long-term medication reviewed for appropriateness of prescribing.
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Transfer of patient records
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Patient notes are transferred according to the practice policy.
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Uncollected prescriptions
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- Prescriptions requested but not collected by patients are followed up
- Scripts not collected are checked against clinical notes to establish if further action is required.
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Developing quality improvement initiatives
If audit findings identify a problem, discuss with other team members to identify the scope of the problem:
- Define what the team hopes to accomplish. Decide specific time frames, outcomes, and targets.
- Identify the actions that need to be taken.
- Communicate the actions to the relevant practice staff, or to patients.
- Determine whether the initiative has succeeded, if not look at what other changes are required.
- If appropriate, embed the new procedure or action long-term.