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Found 73 results
  1. Content Article
    The CVDPREVENT Audit has published its third annual audit report covering the audit period up to March 2022. The report provides insight into the impact of the Covid-19 pandemic on primary care services, when diagnosis and management of hypertension were significantly disrupted. It also compares the national position against key ambitions identified as milestones for the prevention of cardiovascular disease (CVD) and the detection and management of atrial fibrillation, blood pressure and cholesterol. It also includes findings relating to diagnoses of chronic kidney disease and diabetes, lifestyle and health inequalities, as well as a number of recommendations to support the prevention of cardiovascular disease.
  2. Content Article
    This report by the National Paediatric Diabetes Audit (NPDA) is based on data from 33,251 children and young people receiving care from a paediatric diabetes unit (PDU) in 2021/22 in England and Wales. It found that the increase in incidence of Type 1 diabetes observed in the first year of the Covid-19 pandemic was followed by a continuing increase in the numbers of children newly diagnosed with the condition in 2021/22. Other key findings include: Almost all of those with Type 2 diabetes were overweight or obese, and almost half had a diastolic or systolic blood pressure in the hypertensive range. Despite reductions in the percentages recorded as requiring additional support between 2020/21 and 2021/22, over a third of children and young people were assessed as requiring additional psychological support outside of multidisciplinary meetings. Inequalities persist in terms of the use of diabetes related technologies in relation to ethnicity and deprivation.
  3. Content Article
    This report is the Falls and Fragility Fractures Audit Programme's (FFFAP's) State of the Nation Report 2022 for Wales. It examines how the care of inpatient falls and fragility fractures has changed since 2020, highlighting what the audit reveals about the quality of patient care and the impact of the Covid-19 pandemic. The report used three sources of data and concludes with a number of recommendations around the care of people with hip fracture, preventing inpatient falls, and preventing future fractures.
  4. Content Article
    This report is the National Confidential Inquiry into Suicide and Safety in Mental Health's (NCISH) annual report on UK patient and general population data for 2010-2020. It includes findings relating to people aged 10 and above who died by suicide between 2010 and 2020 across all UK countries as well as people under mental health care who have been convicted of homicide, and those in the general population.
  5. Content Article
    Based on data from January 2019 to December 2021, this report by the Paediatric Intensive Care Audit Network (PICANet) catalogues comprehensive information on referral, transport and admission events. This enables the monitoring of delivery and quality of care in relation to agreed standards, and the evaluation of clinical outcomes to inform national policy in paediatric critical care. It reports on five key metrics relevant to Paediatric Intensive Care services: case ascertainment including timeliness of data submission retrieval mobilisation times emergency readmissions within 48 hours of discharge unplanned extubation in PICU mortality in PICU
  6. Content Article
    This report by the National Paediatric Diabetes Audit (NPDA) looks at diabetes care for children in England and Wales in 2021-22. The effectiveness of diabetes care is measured against NICE guidelines and includes treatment targets, health checks, patient education, psychological wellbeing, and assessment of diabetes-related complications including acute hospital admissions, all of which are vital for monitoring and improving the long-term health and wellbeing of children and young people with diabetes. In 2021/22, 100% of paediatric diabetes teams participated in the NPDA.
  7. Content Article
    In this opinion piece, Kath Sansom, founder of Sling the Mesh, looks at why an audit of pelvic mesh outcomes due to be published in April 2023 has again failed to capture the true extent of the harm caused by the procedure. She outlines why the approach taken by the Government and NHS Digital was flawed and why it is so important to understand both the proportion of women who have experienced harm as a result of the procedure, and the nature of their injuries and side effects.
  8. Content Article
    The National Paediatric Diabetes Audit (NPDA) is performed annually in England and Wales and aims to provide information that leads to improved quality care for children and young people affected by diabetes. The audit is funded by the Department of Health through the Healthcare Quality Improvement Partnership (HQIP). Key messages in this 2020-21 annual report on care processes and outcomes include: There was an increase of an increase of 20.7% in the number of children aged 0-15 diagnosed with type 1 diabetes compared with 2019-20. Completion rates on recommended health checks were lower than in previous years due to the impact of the Covid-19 pandemic. There was wide variation between paediatric diabetes units in the completion rates of all key annual health checks. A smaller percentage of newly-diagnosed children and young people started insulin pump therapy compared to previous years. The national median HbA1c (a measure of blood glucose control) reduced from 61.5 mmol/mol to 61.0mmol/mol between 2019/20 and 2020/21, following several years of year on year decreases (improvement) in the national median. Children from ethnic minorities were less likely to be using insulin pumps and continuous glucose monitors (CGMs) than white children. However, the highest percentage increase between audit years in the use of CGMs was seen in black children and young people with type 1 diabetes.
  9. Content Article
    Artificial intelligence systems for healthcare, like any other medical device, have the potential to fail. In this article, published in The Lancet: Digital Health, the authors recommend a medical algorithmic audit framework as a tool that can be used to better understand the weaknesses of an artificial intelligence system and put in place mechanisms to mitigate their impact. They propose that this framework should be the joint responsibility of users and developers who can collaborate to ensure patient safety and correct performance of the system in question.
  10. Content Article
    This report by Save the Children's Global Medical Team (GMT) shares the results of independent audits conducted in 2021. The audits aimed to assess the safety and quality of clinical and pharmacy services delivered by the organisation across seven countries. The team strategically focused on higher-risk programmes where Save the Children staff deliver services directly, with an aim to ensure that services remain safe and fully assured.
  11. Content Article
    This report from the Healthcare Quality Improvement Partnership (HQIP) aims to explore how the multiple national data sets and national audits are used in maternity services across the UK. Based on data from a survey of over 100 people working in a variety of roles across maternity services and a series of in-depth interviews with a diverse group of clinicians and methodologists working in this area, the report explores what data is being reviewed and how it might influence quality improvement, as well as the burden of data.
  12. Content Article
    The National Comparative Audit of Blood Transfusion (NCABT) is a programme of clinical audits which looks at the use and administration of blood and blood components in NHS and independent hospitals in England. Blood services in Northern Ireland, Scotland and Wales are also invited to take part. The audit aims to provide evidence that blood is being ordered and used appropriately and administered safely, and to highlight where practice is deviating from guidelines and may cause patients harm. The latest audit took place in 2021, and previous audits are also available to download on this page.
  13. Content Article
    Ward audit is a specific and common form of audit and feedback used in hospitals around the world. This study in BMC Health Services Research describes the content of ward audits and how they are carried out. The authors found that ward audits can have unintended and sometimes negative consequences, often caused by punitive feedback. They highlight the need to make feedback more constructive, for example, by including suggestions for improvement.
  14. Content Article
    This review in the World Journal of Nephrology assesses the value of clinical audit in nephrology settings. It looks at areas where the use of clinical audit has been effective, such as hypertension and mineral metabolism control in haemodialysis patients. The authors suggest ways to make the process effective and recommend that clinical audit is used more widely within the field of nephrology.
  15. Content Article
    This review in the Journal of Clinical and Diagnostic Research explains the basics of audit and describes in detail how a clinical audit should be performed and monitored. It includes information on the 'Audit Cycle' and 'Ten Tips for Successful Audits'.
  16. Content Article
    This Clinical Audit Guide has been written to help community and hospital pharmacists prepare for and conduct clinical audits. To view this guidance you need to be a Royal Pharmaceutical Society member.
  17. Content Article
    This manual by the Healthcare Quality Improvement Partnership provides an overview of the basic clinical audit process for non-clinician members of a clinical audit team. Topics include: What is Clinical Audit? How to Set Objectives How to Select an Audit Sample Clinical Audit Confidentiality and Ethics Comparing Performance Against Criteria and Standards Writing an Audit Report Implementing Change and Action Plans
  18. Content Article
    This guide by the University Hospitals Bristol clinical audit team provides a brief summary of what clinical audit is, and what it isn't. It outlines the main stages of clinical audit and describes how it can be used, how to engage patients in the process and which staff members should be involved.
  19. Content Article
    This webpage contains information about local and national clinical audits including: The National Clinical Audit and Patient Outcomes Programme (NCAPOP) National Quality Improvement and Clinical Audit Network (NQICAN).
  20. Content Article
    NaDIA-Harms is a year-round collection of four harms that can occur to diabetic inpatients in England: Hypoglycaemic Rescue Diabetic Keto Acidosis (DKA) Hyperglycaemic Hyperosmolar State (HHS) Diabetic foot ulcer The objective of the harms collection is to reduce the rates of the above serious inpatient harms by collecting and providing regular feedback to hospital trusts to inform quality improvement work on a monthly basis. All acute hospitals in England, with inpatients with diabetes are eligible to participate.  This webpage includes guidance on how to participate and patient information.
  21. Content Article
    Gavin Portier is Head of Nursing Quality at Barnsley Hospital NHS Foundation Trust. In this interview, Gavin explains how his approach to auditing has moved beyond measuring negative outcomes, instead focusing on standards of care.
  22. Content Article
    This resource from the National Institute for Health and Care Excellence includes assessment tools that can be used to evaluate current practice and plan activity to meet recommendations, audit tools which can be used to improve care, a quality standard service improvement template (Excel), resource impact reports and templates that summarise the resource impact of implementing NICE guidance and service planning tools to help those with a role in the strategic planning or delivery of services for a condition (or set of circumstances) that are addressed by NICE guidance.
  23. Content Article
    At Patient Safety Learning we believe that sharing insights and learning is vital to improving outcomes and reducing harm. That's why we created the hub; providing a space for people to come together and share their experiences, resources and good practice examples.  This month, our Content and Engagement Manager, Steph, has hand-picked seven resources, particularly relevant for patient safety managers working in hospital settings. Shared with us by hub members and patient safety advocates, they are jam-packed with practical tools and rich insights. 
  24. Content Article
    The National Audit of Inpatient Falls (NAIF) has published their latest report into the care given to patients who fell while they were in hospital and sustained a hip fracture. Based on data from 1,357 patients in 2020, the report presents information on post-fall management and tracks performance against NICE Quality Standard 86, which includes checking the patient for injury before moving, using safe lifting equipment and prompt medical assessment after the fall. 
  25. Content Article
    This audit of the Healthcare Quality Improvement Partnership (HQIP), published by JBara Innovation, looked at how to engage clinicians and clinical teams to learn from evidence, be accountable, and to act to improve quality as a result. It explores how those who lead data collection programmes can deliver their findings to drive action, and to lead and promote change. The attachment includes a series of quotes from various groups, including a HQIP Advisory Group member, a National Clinical Audit lead and consumers, surrounding quality improvement in the NHS.
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