Task:

To prepare a report on a criteria audit conducted at Curtin Hospital.

PART 1:  you are to prepare and submit the first part of your criteria audit report. First, you need to choose your audit topic. You will select to do your criteria audit on either:

a. Cholecystectomy criteria audit: using the records given on Blackboard and applying the criteria provided in Assessments on Blackboard, audit the records to establish how well the hospital is adhering to the guidelines for cholecystectomies set by the Royal Australian College of Surgeons.

b. Health record audit: if you choose this topic you will need to undertake the audit using real hospital paper health records and will be responsible for contacting the hospital and organising the records for the audit (if you are conducting this outside of your place of work you will need a police clearance, confidentiality statement, placement insurance and a letter of support so please contact Kerryn Butler-Henderson for these: Applying the criteria provided in Assessments on Blackboard, audit the records to establish how well the hospital is adhering to the guidelines for good documentation practice.

Next, you are required to prepare an electronic data collection sheet that you will use to complete a criteria audit on 20 cases.

The criteria to use on your data collection sheet can be found in Assessments on Blackboard. Information about designing and conducting a criteria audit. In particular, your data collection sheets should:

• Clearly identify the type of audit and facility.

• Provide a listing of criteria and boxes to audit each (e.g. Yes, No, NA).

• Allow entry of a UMRN or other unique identifier (for the de-identified cholecystectomy records the case number is the unique identifier).

• Collect demographic data (e.g. gender, DOB) and for the cholecystectomy audit the surgical/admission data (e.g. admission and discharge date, operation date).

• Provide a section or code to identify the auditor.

• Allow for comments - both general comments and criterion specific comments (these will be useful to refer to later when reporting and discussing your findings).

• Be visually appealing but professional.

Criteria Audit report inhibits

1. Introduction

2. Background and literature review:

 a. Hospital

 b. Specific information about either:

    i. cholecystectomy surgery.

    ii. good documentation practice

 c. The use of audits and either:

     i. cholecystectomy surgery

     ii. good documentation practice

3. Rationale

4. Objectives

5. Criterion

6. Methodology