Comments on: The Value of the Audit http://www.dailykaizen.org/archives/257 A blog about improvement in health care Tue, 06 Jan 2009 22:01:03 +0000 http://wordpress.org/?v=2.7 hourly 1 By: ram http://www.dailykaizen.org/archives/257/comment-page-1#comment-2153 ram Wed, 28 Mar 2007 16:47:31 +0000 http://www.dailykaizen.org/archives/257#comment-2153 Thanks for the reply Greg, I was wonering what kind of audits do you have inplace for your clinical stuff. In our organization we have atleast one clinical person every in-patient unit spending most of their time doing audits. And we have audits for almost every clinical step. Thanks for the reply Greg, I was wonering what kind of audits do you have inplace for your clinical stuff. In our organization we have atleast one clinical person every in-patient unit spending most of their time doing audits. And we have audits for almost every clinical step.

]]> By: Greg Burnworth http://www.dailykaizen.org/archives/257/comment-page-1#comment-2096 Greg Burnworth Fri, 23 Mar 2007 20:13:25 +0000 http://www.dailykaizen.org/archives/257#comment-2096 It definitely has its challenges Ram. Lee has me working on our Audit department as we speak, primarily in Claims. In the delivery system, I can imagine that it's even more challenging. Auditing is simply a fancy business term for checking, and it has become so ingrained in our thinking because it gives the false illusion of security or QA. First time quality eliminates this need - as for the auditors themselves, small steps... It definitely has its challenges Ram. Lee has me working on our Audit department as we speak, primarily in Claims. In the delivery system, I can imagine that it’s even more challenging. Auditing is simply a fancy business term for checking, and it has become so ingrained in our thinking because it gives the false illusion of security or QA. First time quality eliminates this need - as for the auditors themselves, small steps…

]]> By: ram http://www.dailykaizen.org/archives/257/comment-page-1#comment-2087 ram Thu, 22 Mar 2007 12:41:11 +0000 http://www.dailykaizen.org/archives/257#comment-2087 Lee, That would be very interesing to know how it would work. We've tried to change our care delivery in our nursing units and there have been several issues and everything ends at only one point saying "needs to be audited". Finally I decided to take a look at all the audits every nursing unit conducts and I ended up with a thick pile of policies written to audit almost every function a clinical staff is performing. So now we audit almost everything right from taking vitals to medications, everything is audited. I would be very much interested to know a little more in detail about what you are doing with the your audit process. Thanks a lot for all the valuable information you and Ted are sharing. Ram. Lee,

That would be very interesing to know how it would work. We’ve tried to change our care delivery in our nursing units and there have been several issues and everything ends at only one point saying “needs to be audited”. Finally I decided to take a look at all the audits every nursing unit conducts and I ended up with a thick pile of policies written to audit almost every function a clinical staff is performing.

So now we audit almost everything right from taking vitals to medications, everything is audited.

I would be very much interested to know a little more in detail about what you are doing with the your audit process.

Thanks a lot for all the valuable information you and Ted are sharing.
Ram.

]]> By: robert thompson http://www.dailykaizen.org/archives/257/comment-page-1#comment-2076 robert thompson Wed, 21 Mar 2007 17:11:25 +0000 http://www.dailykaizen.org/archives/257#comment-2076 I find the 2000 version of ISO9001 to be useful when adopting a process approach to auditing. Here you are expected to focus not only on the process but on risk, status and importance of the issues identified. "How will the process add value to a business" is the fundamental question and "is there a better way to do it?" are all key points to bear in mind during the audit itself. Rob I find the 2000 version of ISO9001 to be useful when adopting a process approach to auditing. Here you are expected to focus not only on the process but on risk, status and importance of the issues identified. “How will the process add value to a business” is the fundamental question and “is there a better way to do it?” are all key points to bear in mind during the audit itself.

Rob

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