Monitoring and Auditing Framework – key aspects

Margo Asimus, Nurse Practitioner Wound Care

Lin Perry, Professor of Nursing

Marilyn Cochrane, CNC Wounds & Surgical Services

Geraldine McGettigan, A/CNE

Matthew Wilson, Wound Care CNC

24 criteria

‘Robust audit and data collection systems should be developed to evaluate the effectiveness of current strategies and identify areas where improvements can be made’ 8.1.1, 8.1.2, 8.2.1, 8.3.1, 8.4.1, 8.5.1, 8.5.2, 8.5.3, 8.6.1, 8.6.2, 8.6.3, 8.7.2, 8.7.3, 8.7.4, 8.8.2, 8.8.3, 8.8.4 i.e. 17 / 24 criteria specifically refer to ‘audit’

Audit priorities of the Working Group

1st meeting Feb 2013

March 2013 – identified 60 audit criteria Context & Patient characteristics Risk assessment Risk management - PI prevention Wound Management Patient & family involvement

Essential versus Desirable

For reportage at state, LHD, local levels

‘Minimum dataset’:

Risk assessment Risk management - PI prevention Wound Management Patient & family involvement

Foundational work:

International & translational work on PI data collection:

The National Pressure Ulcer Advisory Panel

The European Pressure Ulcer Advisory Panel

Royal College of Nursing, UK

Jenny Prentice in WA

The PUPPS work from Victoria

and others across Australia

Policy

(NSW planned IT

developments)

Patient & family

involvement

Education modules Equipment

Monitoring & Auditing Framework

Criteria for the methods

Essential considerations:

Valid & reliable data:

Use structured, objective tools & processes

Plan & organise events

Auditors: training & debriefing; auditor independence

Feasibility – resourcing, time, skills, training

Acceptability – to staff & patients

Recommendations:

1. Point prevalence survey at least annually: *no. of patients with PI at a specific time point *concurrent audit of compliance with core aspects of preventive care

2. Best practice clinical audit of care process documentation: *collect regularly, frequency decided locally

3. Regular monitoring of recorded PI incidence in each organisation using routinely collected data: *occurrence of new cases in an organisation