ABSTRACT RADAR - A novel tool for meta-audit applied to adult internal medicine clinical audit at Hutt Hospital from 1996--‐2015 P Daniel1 1General Medicine Advanced Trainee, Capital and Coast DHB (CCDHB) and Hutt Valley DHB (HVDHB), Wellington, New Zealand Acknowledgements. Work completed as RACP project supervised by Stephen Dee, HVDHB and Kyle Perrin, CCDHB. Involvement in clinical audit is mandatory for New Zealand doctors1. Audit activity within a department is rarely assessed2. Meta-audit, the application of audit methodology to audit practice facilitates assessment of audit and augments its benefits. The RADAR score (0-5), a novel tool for meta-audit is described. Aims: To demonstrate use of the RADAR tool for meta-audit, and to review clinical audit activity in adult internal medicine at Hutt Hospital between 1996 and 2015. Methods and Results: The main qualitative measure is mean RADAR score per year with a target of ≥4 achieved in 9/19 years and Pearson correlation coefficient against time being 0.73 (figure 1). A relative quantitative target of the number of audits in a year being ≥80% of the annual mean number of audits across the previous 3 years was achieved in 11/17 years (figure 2). A small number of diagnoses are audited multiple times (table 1). Conclusions: The quality of audit has improved, likely due the accrual of knowledge and culture. The quantity of audits has fallen recently, likely due to failure to archive audits.
References: [1]https://www.mcnz.org.nz/maintain--‐registration/recertification--‐and--‐ professional--‐development/audit--‐of--‐medical--‐practice/, accessed 19/10/16
[2] BRI Sectretariat. 1999. BRI Inquiry Paper on Medical and Clinical Audit in the NHS |
