Annual Report & Accounts 2010/11 - James Paget University Hospitals

Locally developed clinical audits are reviewed at various multidisciplinary meetings across
the Trust. During 2010/11 the following numbers of local audits were reviewed and
discussed at internal meetings and actions to improve clinical services were subsequently
agreed:
Paediatric Audit Meeting 13
Perinatal Morbidity & Mortality Meeting 2/3 case presentations per meeting
Emergency Clinical Governance Meeting 4
Combined Audit Elective Division
7 (+ Surgical Mortality Review cases)
The following case studies provide examples of where clinical audits have directly led to
improvements in patient services.
Case Study 1: Re-audit Compliance with Trust Antibiotic Guideline
Objectives
• To investigate compliance with the Trust Antibiotic Guideline
• To highlight any possible areas of improvement.
Following this audit the following actions were agreed:
Action Plan
• Educate new doctors in the right way of prescribing antibiotics via induction training
sessions.
• Drug chart to be redesigned for antibiotic prescribing which would include a space for
review date and indication for the antibiotics.
• A separate antibiotic sticker to be trialled in EADU which indicates a review/stop date
and the indication for prescribing.
James Paget University Hospitals NHS Foundation Trust
Quality Account 2010/11 Page 23 of 62