CHICA Audit Toolkit
The Audit Process
www.chica.org
Acknowledgements
CHICA-CANADA Audit Toolkit Working Group
members:
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•
•
•
Anne Bialachowski
Karen Clinker
Mary LeBlanc
Shirley McDonald
Benefits of CHICA Membership
CHICA-CANADA membership with its
protected password:
http://www.chica.org
• provides free access to all of the on-line and
interactive audit tools as they are developed,
as a privilege of membership (not available
to non-members)
• promotes interest in CHICA membership
Benefits of CHICA Membership
Objectives
 To describe key steps in the
auditing process
 To provide a brief overview of the
CHICA Audit toolkit
Audit Process Steps
The steps in carrying
out a successful
audit include:
1. Prepare for the
audit
Pre-audit Preparation
 Select a prepared
auditor and area to be
audited:
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auditor must be
objective
must understand the
audit tool
must have the ability to
observe and assess
practice
can be an ICP and/or
department staff
Pre-audit Preparation
 Establish the audit
methodology:
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•
who are the
stakeholders (who gets
the report)?
establish scope of audit
(e.g., all staff vs. some
staff; all rooms on a
unit vs. patient rooms)
how is audit to be
conducted (e.g., PDA vs.
paper, time period)
Pre-audit Preparation
 Select the criteria
to be
audited:
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•
•
•
evaluate against
standards of practice
design data collection
tool
validate audit tool
OR
use CHICA’s audit tools!
Pre-audit Preparation
 Utilize current best
practices and standards:
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CSA standards
provincial regulations
(e.g., OHS)
national guidelines (e.g.,
PHAC
provincial best practices
(e.g., PIDAC)
International guidelines
(e.g., WHO, CDC)
published literature
Audit Process Steps
The steps in carrying
out a successful audit
include:
2. Conduct the audit
by observing
practice
Audit Process Steps
The steps in carrying
out a successful audit
include:
3. Post-audit follow
up and feedback
Post-audit
The Audit Summary Report
Post-audit Analysis
• Using the Impact
Definitions (blue),
determine which
best describes the
seriousness of the
deficiency
• Using the Likelihood
Definitions (yellow),
determine which
best describes the
likelihood of the
deficiency occurring
in future if not dealt
with now
Post-audit Analysis
Determine Risk Level
Post-audit Analysis
 After determining the Risk Level of the
deficiency, you (and stakeholders) are ready
to look at:
• recommended corrective action(s)
• level of involvement
• action timeline for resolution
 Use the Risk Level Chart to assist you with
action planning decisions
Post-audit Analysis
Risk Level Chart
Audit Process Steps
 The steps in
carrying out a
successful audit
include:
4. Re-audit to “close
the loop”
Thank you!