1 Intro 0:28
2 Clinical audit in the laboratory • Audits are part of continuous quality improvement and one of the key elements of clinical governance. • Laboratory-based clinical audits: are a means of providing f… 0:39
3 Overall process of audit • The audit is conducted, findings are made and changes are implemented and then a re-audit is performed after a certain time period to ensure that the changes have been impl… 1:35
4 Role of the laboratory in medical decisions • Importance of laboratory data medical decision making process 0:46
5 Laboratory audit Five distinct activities can be considered under the broad umbrella of audit: 1. Solving problems associated with process or outcome 2. Monitoring workload in the context of controll… 0:53
6 Relationship between clinical governance and audit . Clinical audit is one of the key elements of clinical governance . Clinical governance is a system whereby healthcare organisations are accountabl… 0:39
7 What is the definition of Clinical Governance? - What are the seven pillars of Clinical Governance? • What is your role in supporting Clinical Governance? What is at the heart of Clinical Governance?… 0:36
8 a system through which medical organisations are accountable for continuously improving the quality of services" OR •"a corporate accountability for clinical performance. 0:31
9 "A framework through which healthcare organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in whic… 1:17
10 a quality improvement process that seeks to improve the patient care and outcomes through systematic review of care against explicit criteria and the implementation of change 3:21
11 All core audits for clinical governance should address: the patient userview . critical incident reporting . the perceived quality of help and advice to other doctors. 4:06
12 Royal College of Pathologists . 2005-the Royal College of Pathologists published a code of practice for clinical biochemists and clinical biochemistry services in which clinical biochemists were requ… 0:22
13 Benchmarking . Process of measuring products, services and practices against leaders in a field, allowing the identification of best practices that lead to sustained and improved performance. 0:33
14 Role of evidence-based medicine · Evidence-based medicine (EBM) core of continuous quality improvement programmes and audits are very much part of the continuous process to implement and maintain bes… 1:11
15 What is the difference between audit and research? Research Create new knowledge and provides 1:03
16 Approach to conducting an audit . Clinical audits should be conducted within a structured programme, with effective leadership, involving all staff, and with emphasis on team work and support. 2:40
17 How does audit affect laboratory services? • Assessing and modifying laboratory and clinical practice • Ranging from the use of services to the clinical effectiveness of Laboratory tests as well as t… 1:32
18 Structure programme • Effective leadership involved all staff . Emphasize team work and support • Funding should be available as staff resources will be use • Allocate time for staff • The audit may … 3:20
19 How does audit affect laboratory services . Clinical care • High quality clinical guidelines help clinicians to change the ordering pattern of tests to more rational ones with a better cost/benefit r… 1:15
20 Summary • Systematic improvement of health services requires the objective measurement of people, practices and organisations against valid and explicit standards in order to identify and implement a… 0:43
21 Summary (continued) • Audits are part of continuous quality improvement in the laboratory and one of the key elements of clinical governance. • Audits compare current practice against an accepted sta…