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Identify a time framework for measuring outcomes of care,ģ. It includes assessing the patient at the bedside in relation to pre-determined criteria, interviewing the staff responsible for this care and reviewing the patients record and care plan.Ģ. The concurrent review – this refers to the evaluations conducted on behalf of patients who are still undergoing care. Did nurse write nursing orders? And so on.ī. Did the nurse perform physical assessment? How was information used? Laboratory test results used in planning care?Į. Was a description of patient’s pre-hospital routines included?ĭ. Whether patient data collected in a systematic manner?Ĭ. Was the problem solving process used in planning nursing care?ī. For example the examiner looks through the patient’s records and asks :Ī. In this type of audit specific behaviors are described then they are converted into questions and the examiner looks for answers in the record. Retrospective audit is a method for evaluating the quality of nursing care by examining the nursing care as it is reflected in the patient care records for discharged patients. Retrospective view – this refers to an in-depth assessment of the quality after the patient has been discharged, have the patients chart to the source of data. Focuses on care provided and not on care provider,Ī. Achieves deserved and feasible quality of nursing care,Ĥ. The program is reviewed from record nursing plan, nurses notes, patient condition, nursing care.Ģ. For the next 15 years, nursing audit is reported from study or record on the last decade. He evaluated the medical care by reviewing the medical records.įirst report of Nursing audit of the hospital published in 1955. Ten years later Thomas R Pondon MD established a method of medical audit based on procedures used by financial account. George Groword, pronounced the term physician for the first time medical audit. It was introduced by the industrial concern and the year 1918 was the beginning of medical audit. Before 1955 very little was known about the concept. Nursing audit is an evaluation of nursing service. The audit is a means by which nurses themselves can define standards from their point of view and describe the actual practice of nursing. Nursing Audit is an exercise to find out whether good nursing practices are followed.ī. According to Elison “Nursing audit refers to assessment of the quality of clinical nursing”.Ī. Medical audit – the systematic, critical analysis of the quality of medical care, including the procedures for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient.ġ.
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Nursing audit – (a) it is the assessment of the quality of nursing care, (b) uses a record as an aid in evaluating the quality of patient care.Ĥ. Audit – a systematic and critical examination to examine or verify.ģ. Quality – a judgement of what constitutes good or bad.Ģ.
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Do we know our deficiencies? Are we ready to admit our deficiencies to our peers? Are we taking steps to remedy them? Only by such self regulation we can retain our identity with the health professional as nature partners.ġ. We nurses easily use the words “Quality Nursing” but have we defined what we mean by “Quality?”. The world trend of professional accountability to an enlightened public can no longer be ignored by nursing. Prepared By: Binil.V, MSc.N, manipal College of Nursing, ManipalUniversity