chica audit toolkit the audit process
TRANSCRIPT
![Page 2: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/2.jpg)
Acknowledgements
CHICA-CANADA Audit Toolkit Working Group members:
• Anne Bialachowski• Karen Clinker• Mary LeBlanc• Shirley McDonald
![Page 3: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/3.jpg)
Benefits of CHICA Membership
CHICA-CANADA membership with its protected password:
http://www.chica.org
• provides free access to all of the on-line and interactive audit tools as they are developed, as a privilege of membership (not available to non-members)
• promotes interest in CHICA membership
![Page 4: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/4.jpg)
Benefits of CHICA Membership
![Page 5: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/5.jpg)
Objectives
To describe key steps in the auditing process
To provide a brief overview of the CHICA Audit toolkit
![Page 6: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/6.jpg)
Audit Process Steps
The steps in carrying out a successful audit include: 1. Prepare for the
audit
![Page 7: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/7.jpg)
Pre-audit Preparation
Select a prepared auditor and area to be audited:• auditor must be
objective• must understand the
audit tool• must have the ability to
observe and assess practice
• can be an ICP and/or department staff
![Page 8: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/8.jpg)
Pre-audit Preparation
Establish the audit methodology:• who are the
stakeholders (who gets the report)?
• establish scope of audit (e.g., all staff vs. some staff; all rooms on a unit vs. patient rooms)
• how is audit to be conducted (e.g., PDA vs. paper, time period)
![Page 9: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/9.jpg)
Pre-audit Preparation
Select the criteria to be audited:• evaluate against
standards of practice• design data collection
tool• validate audit tool
OR• use CHICA’s audit tools!
![Page 10: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/10.jpg)
Pre-audit Preparation
Utilize current best practices and standards:• CSA standards• provincial regulations
(e.g., OHS)• national guidelines (e.g.,
PHAC• provincial best practices
(e.g., PIDAC)• International guidelines
(e.g., WHO, CDC)• published literature
![Page 11: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/11.jpg)
Audit Process Steps
The steps in carrying out a successful audit include: 2. Conduct the audit
by observing practice
![Page 12: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/12.jpg)
Audit Process Steps
The steps in carrying out a successful audit include: 3. Post-audit follow
up and feedback
![Page 13: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/13.jpg)
Post-audit
The Audit Summary Report
![Page 14: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/14.jpg)
Post-audit Analysis• Using the Impact
Definitions (blue), determine which best describes the seriousness of the deficiency
• Using the Likelihood Definitions (yellow), determine which best describes the likelihood of the deficiency occurring in future if not dealt with now
![Page 15: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/15.jpg)
Post-audit Analysis
Determine Risk Level
![Page 16: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/16.jpg)
Post-audit Analysis After determining the Risk Level of the
deficiency, you (and stakeholders) are ready to look at:• recommended corrective action(s)
• level of involvement
• action timeline for resolution
Use the Risk Level Chart to assist you with action planning decisions
![Page 17: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/17.jpg)
Post-audit AnalysisRisk Level Chart
![Page 18: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/18.jpg)
Audit Process Steps
The steps in carrying out a successful audit include:
4. Re-audit to “close
the loop”
![Page 19: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/19.jpg)
Questions ?
![Page 20: CHICA Audit Toolkit The Audit Process](https://reader031.vdocuments.mx/reader031/viewer/2022012913/56649da65503460f94a91343/html5/thumbnails/20.jpg)
Thank you!