In this section
Clinical audit is a way to find out if healthcare is being provided in line with standards and lets the Trust and it's patients know where their service is doing well, and where there could be improvements.
The aim of clinical audit projects is to allow improvement to take place where it will be most helpful and will improve outcomes for patients. Clinical audit projects look at care both at a national level, and locally within the Hospital itself.
The Clinical Audit and Risk Management Department at MFT help medical and nursing staff to undertake hundreds of clinical audits each year.
Clinical staff identify areas where they think improvements can be made and then carry out an audit. They look at the best standard of care and use that as a measurement. Sometimes they will look at new standards, or standard from NICE in order to improve the care and treatment their service provides.
Where an audit finds a need for improvement the staff undertaking the audit will agree how this can be achieved by way of an action plan.
| Audit Title | Directorate | Date Closed |
| Post Dural Puncture Headache Management | Anaesthesia | 16/09/2017 |
| Critical Care Safeguarding Assessment | Critical Care (MRI) | 24/07/2017 |
| Respiratory Physiotherapy Documentation on PICU | Allied Health Professionals | 29/09/2017 |
| Medicines Security and Storage | Pharmacy | 23/08/2017 |
| Penicillin Allergy | Laboratory Medicine | 25/09/2017 |
| Dataset Reporting of Cervical Loop Biopsies | Laboratory Medicine | 31/08/2017 |
| Residual Anaesthetic Drugs in IV lines | Anaesthesia | 25/07/2017 |
| Management of Pre-operative Hypertension | Anaesthesia | 29/09/2017 |
| Block Selection in Cut-up by Biomedical Scientists | Laboratory Medicine | 24/08/2017 |
| Community Stroke and ESD Services [NICE QS] | Allied Health Professionals | 28/09/2017 |
| Medical Device Training | Medical Engineering And Maintenance | 29/08/2017 |
| Pre-Operative Optimisation of Patients Refusing Blood Products (PRBPs) – Staff Knowledge Audit | Anaesthesia | 28/09/2017 |
| Equality and Diversity Objective Audit | Division-Wide | 25/07/2017 |
| Appropriate Labelling of Gynaecological Specimens Booked into the Adult Histopathology Department Under the “HSC205” Suspected Cancer Pathway | Laboratory Medicine | 20/07/2017 |
| Expired Drugs in MRI theatres | Anaesthesia | 29/08/2017 |
| Care of the Deceased Person (Adult) 2016 | Trust-Wide | 24/08/2017 |
| VTE Audit | Medical Directors Team | 18/08/2017 |
| Hydration Pathway | Patient Services | 23/08/2017 |
| Periodontal referrals accuracy | Dental Hospital | 24/08/2017 |
| Referrals with Associated Radiographs to the Orthodontic Department | Dental Hospital | 25/07/2017 |
| Body Mass Index recording and appropriate dietetic referrals | Dental Hospital | 18/07/2017 |
| A retrospective audit to assess the quality of record keeping within the paediatric department with regards to inhalation sedation | Dental Hospital | 17/08/2017 |
| Fasting and Adverse Incidents under Sedation | Dental Hospital | 17/08/2017 |
| Mental Capacity act and its use for dental patients | Dental Hospital | 24/08/2017 |
| Oral Medicine Biopsy Pathway | Dental Hospital | 21/08/2017 |
| Quality of periapical radiographic images taken in the Paediatric department | Dental Hospital | 24/08/2017 |
| To assess the quality of lateral oblique jaw radiographs taken in the x-ray department | Dental Hospital | 20/07/2017 |
| Audit of Use of Iluvien Against NICE Guidance | Ophthalmology | 06/09/2017 |
| Paediatric Orbital Cellulitis | Ophthalmology | 25/07/2017 |
| Posterior Artisan Lenses: Visual outcomes and Complications | Ophthalmology | 06/09/2017 |
| History taking for newly referred patients with diabetic retinopathy | Ophthalmology | 13/07/2017 |
| Photochemical corneal collagen cross linkage | Ophthalmology | 25/09/2017 |
| Type and quality of referrals to Primary care/ comprehensive ophthalmology (PCC) | Ophthalmology | 26/07/2017 |
| Compliance with guidelines for the assessment and management of the ocular features of MPS in children | Ophthalmology | 06/09/2017 |
| Paediatric Ptosis Surgery | Ophthalmology | 10/08/2017 |
| Hip Surveillance Pathway and 24 hour Postural Management | Community Children’s Services | 14/09/2017 |
| Eye examinations within the Emergency Department | Urgent Care | 04/08/2017 |
| Test Results Management (including clinically significant results) | Community Adults And Specialist Services | 30/08/2017 |
| An audit of the quality of Autism Spectrum Disorder diagnostic reports | Community Adults And Specialist Services | 24/07/2017 |
| Children’s Community Record Keeping Audit | Community Children’s Services | 17/08/2017 |
| Trust Priority Falls Audit 2016/17 | Division-Wide | 23/08/2017 |
| Cancer of Unknown Primary Service | Adult Integrated Medicine | 24/07/2017 |
| Stroke and Transient Ischaemic attack Clinical Decision Support Guideline Audit | Urgent Care | 31/08/2017 |
| A clinical audit of the investigation strategy of suspected malaria in the Manchester Royal Infection Emergency Department. | Urgent Care | 13/07/2017 |
| Neutropenic Sepsis | Adult Integrated Medicine | 13/07/2017 |
| Suspected pulmonary embolisms in pregnancy | Urgent Care | 29/08/2017 |
| An audit of daily clinical documentation by medical staff in ward 15 clinical notes | Adult Integrated Medicine | 27/09/2017 |
| Lone acute severe headache in the emergency department | Urgent Care | 17/08/2017 |
| Patient Confidentiality in Medical Notes | Research And Innovation | 02/08/2017 |
| Naso/oro-gastric jejunal tube placment : Knowledge and practice of childrens nurses | Division-Wide | 14/09/2017 |
| Audit of High risk medication monitoring | CAMHS | 07/07/2017 |
| Time to Diagnosis and Symptom Interval of CNS Tumours in Oncology Patients aged 5-16 years at RMCH: An Impact of HeadSmart | Medicine 3 (RMCH) | 24/07/2017 |
| Availability of Paediatric Front of Neck Access Equipment | Theatres & Anaesthesia (Childrens) | 14/09/2017 |
| Adequacy of Paediatric difficult airway equipment audit | Theatres & Anaesthesia (Childrens) | 14/09/2017 |
| FP10 prescribing of Melatonin and Stimulant medication in Salford CAMHS | CAMHS | 24/07/2017 |
| Cardiovascular Risk Factors in Juvenile SLE | Medicine 2 (RMCH) | 14/09/2017 |
| Use of Microcuff endotracheal tubes in children | Theatres & Anaesthesia (Childrens) | 24/07/2017 |
| Use of Home Oxygen in Children | Medicine 2 (RMCH) | 24/07/2017 |
| Attention deficit Hyperactivity disorder assesssment at the Winnicott centre against NICE guidelines | CAMHS | 07/07/2017 |
| Anaesthesia and Analgesia for delayed bladder exstrophy repair(DER); impact on level of postoperative care | Theatres & Anaesthesia (Childrens) | 07/07/2017 |
| RMCH CF Annual Review Audit | Medicine 2 (RMCH) | 24/07/2017 |
| CAMHS Clinical Case note Audit | CAMHS | 05/07/2017 |
| Enteral nutritional guidelines on the PICU | Critical Care (Childrens) | 14/09/2017 |
| Use of Omalizumab for treating severe persistent allergic asthma at RMCH Respiratory Department | Medicine 2 (RMCH) | 14/09/2017 |
| Skin Care and pressure ulcer prevention in the PICU | Critical Care (Childrens) | 24/07/2017 |
| Management of sepsis – NWTS transferred patient review over a 1 year period | Critical Care (Childrens) | 14/09/2017 |
| Use of the ASQ-3 and ASQ:SE for parents attending the Manchester CAPS Baby Incredible Years Groups. | CAMHS | 16/08/2017 |
| Paediatric Surgical Site Assessments | Surgery 1 (RMCH) | 21/09/2017 |
| Anaesthesia outcomes for patients with Mucopolysaccharidoses type 6 ( Marateaux-Lamy syndrome) | Theatres & Anaesthesia (Childrens) | 14/09/2017 |
| Accuracy of acute scrotum diagnosis in children | Surgery 1 (RMCH) | 15/09/2017 |
| Eruption of canines into alveolar bone grafts in cleft lip and palate patients | Surgery 1 (RMCH) | 24/07/2017 |
| Changing practice, anorectal malformation and distal loopogram | Surgery 1 (RMCH) | 14/09/2017 |
| Children’s early warning Score (EWS) Re-audit | Division-Wide | 07/07/2017 |
| Pervasive Arousal WIthdrwal Syndrome Care Pathway Audit | CAMHS | 14/09/2017 |
| Duration of anaesthesia for hernia repair in children less than 3 years of age. | Theatres & Anaesthesia (Childrens) | 24/07/2017 |
| Paediatric Clinical Observation Re-Audit | Division-Wide | 14/09/2017 |
| SSRI prescribing Practices in Salford CAMHS | CAMHS | 14/09/2017 |
| Audit of HDU-level transfers referred to NWTS over 1 year | Critical Care (Childrens) | 14/09/2017 |
| NWTS transfers for palliative/end of life care | Critical Care (Childrens) | 14/09/2017 |
| Inhaled Nitric Oxide use at the North West and (NWTS) | Critical Care (Childrens) | 24/07/2017 |
| The Assessment of Children with Autism Spectrum Disorder at The Winnicott Centre against NICE guidelines. | CAMHS | 14/09/2017 |
| Medication Review Documentation July 2017 | CAMHS | 16/08/2017 |
| An Audit to Assess the Quality of Lateral Cephalometric Radiographs at the Cleft Lip and Palate Unit RMCH | Surgery 1 (RMCH) | 14/09/2017 |
| Correction megaprepuce | Surgery 1 (RMCH) | 14/09/2017 |
| The provision of post exposure Prophylaxis for HIV | Outpatient Medical Specialities | 18/08/2017 |
| Standards in Anca test checking and follow-up | Renal Medicine | 08/08/2017 |
| Fluid balance audit | Renal Medicine | 27/09/2017 |
| Audit of timeliness of observations | Manchester Heart Centre | 02/08/2017 |
| Impact of blood sampling on service delivery | Haematology And Gastroenterology | 29/09/2017 |
| Management of hyperglycaemia and steroid therapy | Outpatient Medical Specialities | 26/09/2017 |
| Echocardiogram performed before discharge in heart valve surgery | Manchester Heart Centre | 30/08/2017 |
| Management of Primary HIV Infection | Outpatient Medical Specialities | 27/09/2017 |
| Instrumental Delivery | Obstetrics | 21/07/2017 |
| Peri-operative Anaglesia for Enhance Recovery Patients Undergoing Major Surgery | Gynaecology | 11/09/2017 |
| Induction of labour | Obstetrics | 21/07/2017 |
| Management of Gestational Hypertension and Mild Pre-eclampsia | Obstetrics | 21/07/2017 |
| Intrauterine Fetal Blood Transfusion | Obstetrics | 21/07/2017 |
| Management of Gestational diabetes at the Trafford Antenatal Clinic | Obstetrics | 21/07/2017 |
| Immunisation Audit: Pre and Post Men B vaccination | Newborn Intensive Care | 25/07/2017 |
| Counselling Services Response Times to Counselling Enquiries | Sexual Assault Referral | 30/08/2017 |
| Neonatal Cranial Ultrasound Scans in SMH – Protocol and Practice | Newborn Intensive Care | 06/07/2017 |
| Constitutional Copy Number Variants (CNVs) encompassing Cancer (Ca) predisposing gene(s) detected by Chromosomal Microarray (CMA) as an Incidental Finding | Genomic Medicine | 14/07/2017 |
| Postnatal Venous Thromboembolism (VTE) Risk Assessment and appropriate thromboprophylaxis | Obstetrics | 21/07/2017 |
| Management of ectopic pregnancy | Gynaecology | 25/07/2017 |
| Post operative voiding/Bladder care management | Gynaecology | 30/08/2017 |
| The impact of service reconfiguration on the provision of laparascopic cholecystectomy for patients admitted with acute gallstone disease. | General Surgery | 12/07/2017 |
| NICE guidelines for pressure ulcers prevention and management | Medicine & Rehabilitation | 31/08/2017 |
| Assess The Effectiveness Of Degludac Insulin | Medicine & Rehabilitation | 13/09/2017 |
If you wish to receive a copy of one of the reports on this list please contact the clinical audit department on 0161 2764172 or by e-mailing clinical.audit@cmft.nhs.uk