The procedure for carrying out a Clinical Audit project at UH
Bristol is detailed below:
- Idea - discuss your project idea with an
appropriate member of the Clinical Audit Team.
- Proposal - complete a proposal form. Guidance is available on
filling this out.
- Approval - submit the form to the Divisional /
specialty Clinical Audit Convenor for approval.
- Support - discuss with your Clinical
Audit Facilitator what further support they can give you.
- Data - collect and analyse your data.
- Present - discuss results with colleagues
and make recommendations; a template is available.
- Report - a written report provides the
permanent record of the audit; a template is
- Action - a final action
plan details what is to be done to create improvement - this
is included in the report template.
We know that bureaucracy can be time-consuming, but this
procedure is there to protect you, your colleagues, the Trust, and
ultimately patients. We want to support you to do audit that brings
about positive changes to patient care.
Points to note:
If your project involves review of patient case notes, these
will not be pulled unless the project has been approved and
registered onto the Trust audit programme. Large note-pulls (eg
more than 100 notes) may be queried by the audit team as part of
the approval process.
If your project involves a patient or staff survey, this will
require separate approval by the Trust's Questionnaire,
Interview and Survey (QIS) Group - a proposal form and
template covering letter can be found on their webpage.