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GUIDELINES ON THE USE 
OF THE MENTAL HEALTH
(NORTHERN IRELAND)
ORDER 1986

Rolling Audit Calendar
2012 - 2017

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Information for Good and Bad Audits

What makes a good audit?

  • Good topic selection. (Does it examine the area which needs to be examined? For example, high, risk, high volume, new drugs, etc).
  • Standards which are set relate to local and national standards.
  • Multiprofessional involvement.
  • That analysis of the collected data takes place and is compared to set standards.
  • Changes are Specific, measureable, achievable, realistic and time bound.
  • Changes DO take place.
  • Change benefits patients/clients/carers.
  • That re-audit happens to enable comparisons with previous results.

 
What makes a bad audit?

  • Topics chosen are not relevant, ie, no benefit to patients or audit for audit sake!
  • Topics no-one wants to do because the topic has been imposed on them rather than having an involvement in that area.
  • Standards are non existent, too high or too low.
  • Poor methodology
  • Poor data collection
  • Sample sizes which are too large or too small.
  • Analysis is not thought through.
  • No change takes place.

 
Critical success factors for clinical audit

  • Clinical leadership
  • Vision, strategy, objectives & planning
  • Audit staff & support
  • Structures & systems
  • Training & education
  • Understanding & involvement
  • Organisational environment

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