Quality Audits
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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

Checks carried out

Clinical registration

All clinical staff hold appropriate registrations and certifications.

Health and Safety

  • 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

Incidents and near misses

  • 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.

Managing Results and Clinical Correspondence

  • Protocols are in place and being adhered to.
  • Inboxes cleared regularly and process is overseen by one person.

Medicine Reconciliation

  • Medicine reconciliation is happening correctly and within target time frames.
  • Discrepancies are being reduced.

Screening and Recall

Clinicians check patient dashboard consistently and offer brief interventions where appropriate.

Patient complaints

Complaints reviewed to determine:

  • number of complaints received
  • compliance issues
  • patterns

Patient feedback

Quarterly patient feedback survey.

Patient test results

  • All clinical correspondence reviewed and actioned
  • All results and correspondence sighted by a practice clinician and added to patient record

Recalls

  • All eligible patients contacted for recall.
  • Effectiveness of the practice's screening and recall procedures regularly reviewed.

Referrals

  • Referrals are sent and actioned by the appropriate provider.
  • Significant referrals are checked and followed up by the referring clinician.

Repeat prescriptions

Sample of patients on long-term medication reviewed for appropriateness of prescribing.

Transfer of patient records

Patient notes are transferred according to the practice policy.

Uncollected prescriptions

  • 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.

Developing quality improvement initiatives

If audit findings identify a problem, discuss with other team members to identify the scope of the problem:

  1. Define what the team hopes to accomplish. Decide specific time frames, outcomes, and targets.
  2. Identify the actions that need to be taken.
  3. Communicate the actions to the relevant practice staff, or to patients.
  4. Determine whether the initiative has succeeded, if not look at what other changes are required.
  5. If appropriate, embed the new procedure or action long-term.

Page Information

Last reviewed November 2021
Next review October 2024
Topic type Core content
Approved By: Key Contact
Topic ID: 8290

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