References

Mosedale P. Learning from our mistakes: the use of Significant Event Audit in veterinary practice. The Veterinary Nurse. 2018; 9:(5)236-9

Oxtoby C, Ferguson E, White K, Mossop L. We need to talk about error: causes and types of error in veterinary practice. Vet Rec.. 2015; 177:(17) https://doi.org/10.1136/vr.103331

RCVS Code of Professional Conduct for Veterinary Nurses. 2018a. https://www.rcvs.org.uk/setting-standards/advice-and-guidance/code-of-professional-conduct-for-veterinary-nurses/#animalsl (accessed December, 2018)

RCVS Practice standards Scheme. 2018b. https://www.rcvs.org.uk/document-library/small-animal-modules/ (accessed December, 2018)

RCVS Knowledge. Quality Improvement Glossary. 2018a. http://www.rcvsknowledge.org/document-library/quality-improvement-glossary/ (accessed 22nd October, 2018)

RCVS Knowledge. Quality Improvement Resources. 2018b. http://www.rcvsknowledge.org/quality-improvement/tools-and-resources/clinical-audit/ (accessed 22nd October 2018)

Rose N, Toews L, Pang DSJ. A systematic review of clinical audit in companion animal veterinary medicine. BMC Vet Res.. 2016; 12:(1) https://doi.org/10.1186/s12917-016-0661-4

Sparkes AH, Caney S, Chalhoub S ISFM Consensus Guidelines on the diagnosis and management of Feline Chronic Kidney Disease. J Feline Med Surg.. 2016; 18:(3)219-39 https://doi.org/10.1177/1098612X16631234

Viner B. Clinical audit in veterinary practice - the story so far. In Pract.. 2005; 27:(4)215-218 https://doi.org/10.1136/inpract.27.4.215

Viner B. Using audit to improve clinical effectiveness. In Pract.. 2009; 31:(5)240-3 https://doi.org/10.1136/inpract.31.5.240

Waine K, Dean R, Hudson C, Brennan M. Clinical audit in farm animal veterinary practice. In Practice. 2018; 40:360-4

Wylie CE. Prospective, retrospective or clinical audit: A label that sticks. Equine Vet J.. 2015; 47:(3)257-9 https://doi.org/10.1111/evj.12409

Clinical audit in veterinary practice — the role of the veterinary nurse

02 February 2019
12 mins read
Volume 10 · Issue 1
Clinical audit in veterinary practice — the role of the veterinary nurse

Abstract

Clinical audit is about measuring clinical effectiveness, it is part of a quality improvement process with the goal of continuously improving the quality of patient care. Veterinary nurses play a crucial role in preparing for, setting up and running clinical audits, so it is essential that they have a good understanding of the audit process. Thorough preparation for the audit should ensure a successful outcome. This involves choosing a suitable subject which is relevant to the team and measureable, and then deciding whether an outcome, process or significant event audit is the best course of action. Planning how to collect the data, analysing the data once the practice has it and most importantly acting on the results and making any necessary changes are all vital to ensure the practice gets maximum benefit from the clinical audit. A re-audit once changes have been implemented is also a crucial part of the process. The use of audit to benchmark the practice performance against other practices is discussed and there are examples of both outcome and process audits. Introducing simple nursing audits can allow the team to rapidly see the value of the auditing process and real differences made to patient care.

Clinical audit is a systematic process by which veterinary teams are able to assess and evaluate the effectiveness of procedures they carry out. It can help the whole practice team to look objectively at the care they deliver and can improve outcomes.

Clinical audit at its simplest is a process for the collecting and recording of clinical information with the aim of monitoring the quality of care and identifying action areas for improvement. Clinical audit can help veterinary professionals to understand the care they deliver to their patients and the service they deliver to their clients

It can also be defined as a quality improvement process with the goal of continuously improving the quality of patient care.

Veterinary nurses play a crucial role in preparing for, setting up and running clinical audits. So it is essential that they have a good understanding of the audit process. The RCVS Guide to Professional Conduct states that ‘RVNs must ensure that clinical governance forms part of their professional activities’ (RCVS, 2018a). The RCVS in their guidance to the Code say that clinical governance may include amongst other things, auditing the results of clinical procedures of interest to the practice team and using the results to improve patient care.

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