57 Questions
What is the primary goal of clinical audit?
To improve the quality of care and patient safety
What is the purpose of the clinical audit cycle?
To identify and address gaps in care
What is the relationship between clinical governance and clinical audit?
Clinical audit is a subset of clinical governance
What is the main objective of an audit?
To verify compliance with requirements
What is the purpose of quality subgroups in clinical governance?
To monitor and improve the quality of care
What is the role of meetings in public in clinical governance?
To allow the public to participate in decision-making
What is the percentage of patients diagnosed with a myocardial infarction who receive oral aspirin 300mg within 4 hours of admission to A&E?
95%
What is the purpose of the yellow book given to patients prescribed warfarin?
To educate patients on warfarin therapy
What is the primary source of data collection in clinical audits?
Medical records
What is the purpose of the clinical audit cycle?
To improve clinical practice
What is the name of the dataset that provides information on prescribing data in England?
PACT
What is the average number of influenza vaccines provided per community pharmacy in 2018/2019?
150
What type of data is available in community pharmacy records?
All of the above
What is the percentage of patients prescribed warfarin who receive a yellow book at their first clinic appointment?
80%
What is the purpose of data analysis in clinical audits?
All of the above
What is the primary advantage of using routinely collected data in clinical audits?
Reduces data collection time
What is the frequency of clinical audits required for pharmacy contractors?
Two per year
Which of the following is an example of a topic for a clinical audit?
Flu vaccination for people with diabetes
What is the primary focus of a prescribing audit?
Prescribing patterns
What is the purpose of setting a standard of care in a clinical audit?
To establish a benchmark for patient care
What percentage of elderly patients were prescribed NSAIDs with Heart Failure as a recorded diagnosis in the example audit?
3.7%
What percentage of patients prescribed warfarin by the warfarin clinic are expected to have a record of receiving a yellow book at their first clinic appointment?
80%
What is the recommended approach for prescribing NSAIDs in elderly patients with cardiovascular disease?
Use ibuprofen or naproxen
What is the purpose of the clinical audit cycle?
To identify areas for improvement
What is the primary goal of the data analysis stage in the clinical audit cycle?
To compare practice with standard
Why is it essential to present the data in a comparable format to the standard?
To identify areas for improvement
What is the outcome of the example audit?
NSAIDs are being prescribed inappropriately in elderly patients
What is the expected outcome of implementing changes to the current practice in the clinical audit cycle?
An improvement in patient care
What is the definition of 'elderly' in the example audit?
Patients over 75 years
What is the primary role of the pharmacist in clinical audit?
To participate in prescribing audits and service audits
What is the source of the data for the example audit?
GP computer records
What is the primary goal of the clinical audit cycle?
To improve patient care
What is the purpose of the 're-audit' stage in the clinical audit cycle?
To ensure that improvements have occurred
What type of data is typically collected during the data collection stage of the clinical audit cycle?
Quantitative data on patient outcomes
What is the primary reason for conducting a clinical audit?
To identify areas for improvement
What is the expected outcome of meeting the standard in clinical audit?
An improvement in patient care
According to ISO 19011:2018, what is an audit?
A process for obtaining audit evidence and evaluating it objectively
What is the primary purpose of a Standard Operating Procedure (SOP)?
To eliminate variations in processes
What is clinical audit?
A quality improvement process that reviews care against explicit criteria
What is the purpose of setting a standard of care in a clinical audit?
To define what constitutes 'best care'
What is a key characteristic of a good standard of care in a clinical audit?
It is Specific, Measurable, Achievable, Realistic, and Time-bound (SMART)
What is the purpose of re-audit in a clinical audit cycle?
To sustain improvement in patient care
What is the clinical audit cycle?
A cycle of deciding on a topic, setting a standard, collecting data, analyzing data, making recommendations, implementing changes, and re-auditing
What is the purpose of data analysis in a clinical audit?
To compare practice with the standard of care
What is the primary purpose of oversight inspection procedures?
To monitor standards of clinical care
What is the role of the National Institute of Health and Care Excellence (NICE) in clinical audit?
To set national priorities for clinical audit
What percentage of elderly patients prescribed NSAIDs with Cardiovascular Disease was recorded in Standard A?
20%
What was the percentage of elderly patients prescribed NSAIDs who were prescribed ibuprofen or naproxen in the re-audit?
57.9%
What is the primary focus of the clinical audit cycle?
Quality improvement
What is the role of the practice pharmacist in the safe use of NSAIDs in elderly patients?
All of the above
What is the purpose of implementing changes in the clinical audit cycle?
To improve patient outcomes
What is the percentage of elderly patients prescribed NSAIDs with Heart Failure that was recorded in Standard D?
0%
What is the purpose of the clinical audit guide?
To support quality improvement
What is the role of the pharmacist in the clinical audit cycle?
All of the above
What is the purpose of re-audit in the clinical audit cycle?
To evaluate the effectiveness of changes
What is the relationship between clinical audit and quality improvement?
Clinical audit is a component of quality improvement
What is the purpose of setting a standard of care in the clinical audit cycle?
To establish a benchmark for practice
This lecture covers the importance of clinical audit, the clinical audit cycle, and pharmacist involvement in clinical audit. It also includes a practical exercise on ensuring patient safety from aseptic dispensing. Learn about the role of clinical audit in pharmacy practice.
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