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the audit report but will be made separately to the auditing body and will not be<br />

distributed outside of the auditing body.<br />

While it is the role of the audit team to identify areas for quality<br />

improvement of the services provided by the facility/institution, it is not the<br />

responsibility of the auditing body to rectify any deficiencies identified. Instead,<br />

the role of the auditing body is to identify the need for improvements and thus to<br />

initiate their implementation and to facilitate learning.<br />

2.5.4. Report on findings<br />

This section of the report will include detailed data and observations as<br />

follows:<br />

(a)<br />

(b)<br />

(c)<br />

The names of key individuals involved with the audit:<br />

(i) Those requesting the audit;<br />

(ii) Heads of audited facilities;<br />

(iii) Contact persons for the audit.<br />

A vision of the facility/institution for future development.<br />

A description of audit activities and findings as recorded on the audit report<br />

forms (see Appendix IV), and will cover the following areas:<br />

(i) Quality management procedures and infrastructure;<br />

(ii) Patient related procedures;<br />

(iii) Technical procedures;<br />

(iv) Education, training and research programmes.<br />

2.5.5. Conclusions<br />

The conclusions should include some mention of an agreed action plan with<br />

the audited facility in response to the audit recommendations (see Section 2.7),<br />

and may also include a statement from each individual audit team member<br />

(guideline length for each member: one page).<br />

2.5.6. Annexes<br />

Annexes should include:<br />

—A full list of the individuals interviewed during the audit;<br />

—The application form completed by the facility/institution;<br />

—Any other documents relevant to the audit.<br />

14

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