Types of audits in Hospital:
• Prescription Audit
• Financial Audit
• Quality Audit
• Mortality Audit
• Third Party Audit
• Internal Audit
• Clinical Audit
Different types of auditing are done in the hospitals to check the veracity of the records and to check the adherence of the organisation to the rules laid.
Prescription audit:
Prescription audit consists of study of the prescriptions that are prescribed by the doctors to study the patterns of drugs prescribed and weather they follow the guidelines that are put forth by the organisation. Prescription audits are useful in generating data on morbidity, which forms the basis for preparing the list of essential medicines. Mechanisms necessary for improving prescription practices are suggested.
Financial audit:
Financial audit of a hospital include audit of
…show more content…
A quality audit is also used to determine whether or not the hospital is operating in compliance with rules such as medical laws and regulations etc. A quality audit distinguishes itself from a financial audit in that the primary objective of the financial audit is to verify the integrity and accuracy of the accounting methods used within the organization.
Mortality audit:
This is a detailed assessment of all the patients that have died in the hospital. Information is collected from the hospital records. The various reasons for the death are noted down. This helps in finding where the problem lies and help improve the area of care.
Internal audit:
Internal audit is done by a selected team within the organisation. The trained staff not directly responsible for what is being audited are recruited to conduct the internal audit. The various records that are reviewed in an internal audit are procedures and policies, training records, observation of process etc.
Third party
These methods include the structure of the CPA firm and the procedures established by the firm. The CPA firm follows its specific quality control procedures to help the firm meet auditing standards consistently on every audit engagement. Quality control policies and procedures should be documented by each CPA firm, and the procedures should focus on the size of the firm, the number of offices, and the nature of the practice. The quality control procedures that firms use should address six elements such as leadership responsibilities for quality within the firm, relevant ethical requirements, acceptance and continuation of clients, human resources, engagement performance, and monitoring. CPA firms must also be enrolled in an AICPA approved practice-monitoring program or peer review in order for other CPA firms to determine and report if its quality control system is in effect and
State and federal regulations, national accreditation standards, and clinical practice standards are created, and updated regularly. In addition, to these regulations, OIG publishes a compliance work plan annually that focuses on protecting the integrity of the program, and prevention of fraud and abuse. The Office of the Inspector General examines quality‐of‐care issues in nursing facilities, organizations, community‐based settings and occurrences in which the programs may have been billed for medically unnecessary services. The Office of the Inspector General’s work plan for the fiscal year 2011 highlights five areas of investigation for acute care hospitals. Reliability of hospital-reported quality measure data, hospital readmissions, hospital admissions with conditions
This paper’s brief intent is to identify the policies and procedures currently being developed at Midwest Hospital. It identifies how the company’s Management Committee was formed and how they problem solved and delegated responsibilities. This paper recognizes the hospital’s greatest attributes and their weakest link. Midwest Hospital hired Dr. Herb Davis to help facilitate the development and implementation of resolutions for each issue.
Leadership, Character, Service, Citizenship. When I think of the NHS, leadership, character, community, and role modeling are all things that come to mind. Being a part of the National Honor Society will help me do just that. I have worked hard for outstanding grades, citizenship, and becoming a leader and role model for other classmates.
The implementation of bedside shift reporting is crucial for quality of patient care and patient safety. According to an article found in the American Nurse, 2009 by Trossman, “Shift-change reports are as routine and as important to staff nurses as breathing”. Nurses have identified and averted a number of errors – including delivering wrong medications and continuing orders that were stopped – since the bedside report has been implemented” (p. 7). Lag time from when on coming nurses received report and actually saw their patient was reported to decrease with bedside shift reporting. Julie Truran, RN who is a charge and staff nurse on a pulmonary and infectious disease unit states “It’s improved patient safety
Objectivity also needs to be evaluated to make sure the internal audit is reliable. The internal audit needs to be free of conflicting responsibilities as well
Growing up, I was never really sure what career would fit best for me. I didn’t know which direction I was going to take and I always ended up pushing it aside because truly, it scared me. Coming into high school, I ended up with multiple injuries – I sprained my left ankle twice and my right ankle once; I also ended up spraining my elbow. This all happened through cheerleading and lacrosse. I was continually going to the hospital and started to realize what my passion was – being in the medical field. My passion for being in the medical field grew even more when my brother married his girlfriend, Yuko. She happened to be a nurse, as well as my other brother who worked as a physical therapist. Though I didn’t know what field I necessarily wanted to go into, and I still am a little conflicted, I knew my heart was in the medical field. One that I’ve specifically looked into recently has been emergency room nurses.
Some method such as audits, chart reviews, computer monitoring, incident report, bar codes and direct patient observation can improve and decrease medication errors. Regular audits can help patient’s care and reeducate nurses in the work field to new practices. Also reporting of medication errors can help with data comparison and is a learning experience for everyone. Other avenues that has been implemented are computerized physician order entry systems or electronic prescribing (a process of electronic entry of a doctor’s instructions for the treatment of patients under his/her care which communicates these orders over a computer network to other staff or departments) responsible for fulfilling the order, and ward pharmacists can be more diligence on the prescription stage of the medication pathway. A random survey was done in hospital pharmacies on medication error documentation and actions taken against pharmacists involved. A total of 500 hospital were selected in the United States. Data collected on the number of medication error reported, what types of errors were documented and the hospital demographics. The response rate was a total of 28%. Practically, all of the hospitals had policies and procedures in place for reporting medication errors.
This service is experienced, documented, evaluated and paid for as Pharmaceutical Care. Pharmaceutical Care consists of a philosophy of practice, patient care process as well as a patient management system. Pharmaceutical Care has common integrated vocabulary consistent with other patient care practices such as medicine, dentistry and nursing. Philosophy of pharmaceutical care consists of a description of the social need for the practice, a concise and clear statement of individual practitioner responsibilities to meet this social need, the expectation to be patient-centered and the requirement to function within the caring paradigm. This philosophy of practice is expected and practiced by all health care professionals. The patient care processes must be consistent with the patient care processes of all other health care providers. These processes include the assessment of the client’s pharmaceutical needs, a health care plan that is constructed to meet the specific needs of the client and a process in which evaluates the health care plan to gauge the efficacy of decisions made and actions taken. Pharmaceutical care management system includes all resources needed to manage the client’s needs, which include the space provided, such as a clinic or hospital, an appointment system for patients, appropriate and ethical documentation, reporting of patient care, evaluation of decisions made and actions taken and payment of service
National Institute for Clinical Excellence. (2002). Principles for Best Practice in Clinical Audit. National Institute for Clinical Excellence. Oxford: Radcliffe Medical Press.
Consulting for the Caring Angel Hospital Working in the health care industry takes a lot of courage and patience in order to deal with different individual’s personalities and to be equipped to handle stressful situations according to the issues at hand. As a senior consultant at the Practical Health Care Consulting firm, my supervisor has instructed me to spend three months at the Caring Angel Hospital. While at the hospital there are a few tasks for improving the quality of care, adding value to the organization, improving employee morale, etc. Although these obstacles will be a challenge, there is an opportunity for improvement. This will allow the Caring Angel Hospital to increase revenue and accomplish the goals that are established.
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
Monitoring is the ongoing process of measuring and analyzing to ensure that quality controls are maintained. It is generally less formal than auditing and performed by the organizations staff. Auditing in contrast, is a more structured and formal approach to analyzing quality control operations. Someone who is independent of the organization performs audits. At the conclusion of an audit formal recommendations are also provided for areas of improvement.
The health sector is a susceptible area based on the nature of work involved and how it operates. Human life is sacred, and the health sector is majorly concerned with how human life can be preserved. Based on the sensitive nature of the health sector, measures must be put in place that ensures procedures and services are offered in the best way possible. Accreditation can be employed in ensuring that services and products from a health facility are of the required quality. According to Alkhenzin and Shaw (2011), accreditation refers to a voluntary process in which trained peer reviewers are tasked with the mandate of evaluating the compliance of a health facility to a set of predefined standards. The standards are majorly performances standards.
All patients that are admitted to the inpatient unit would have their medications reviewed on admission, if there was a change in their disease trajectory and upon discharge as standard. All patients attending day-therapies would have an initial clerking to include a medication review and this would be revisited at twelve weekly intervals. All patients should be given the opportunity to discuss their medications and that we should work in partnership with patients and their families. If patients were admitted for end of life care and were only prescribed end of life medications, then they would be obvious outliers.