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In line with accepted best practice, and the expectations of our patients and the wider public, all audit data collected by the College of Emergency Medicine from August 2012 are being shared with the Care Quality Commission (CQC), and placed in the public domain. It is important to note that clinical audit is an indicator of the quality of care provided and not an absolute measure; audit data should be interpreted alongside other indicators of care within the local context, and taking account of factors specific to individual Emergency Departments (EDs). Clinical audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change. All EDs should seek to use audit data to help identify areas for improvement and seek to implement change to further improve, regardless of performance in relation to other EDs. Further information regarding the purpose and conduct of the College's clinical audit programme can be found here: https://secure.collemergencymed.ac.uk/code/document.asp?ID=6311.
The results from all participating EDs for the 2012 CEM audits of feverish children, fractured neck of femur and renal colic are now available here. Details of the audit methodology and criteria can be found in the data collection tools which are available to download at the bottom of this page.
The College has produced a report summarising the results from three of the national audits (pain in children, fractured neck of femur and paracetamol overdose) which have been repeated in Emergency Departments (EDs) between 2003 and 2008.
The national findings for the audits undertaken in 2008/2009 are available below:
The reports have been prepared by the Care Quality Commission and compare your Emergency Department with other departments nationally that completed audit returns.
We are sure that all departments will strive to make continuous improvements but would ask all those that fall in the lower performance quartile to address improvement issues as a matter of urgency in order to ensure high quality is delivered to all who use your service.
We would also encourage you to share these reports with your trust board.
Information from these reports will feed in to the Care Quality Commission’s assessment of NHS Trusts.
Should you think that any of the information contained in these reports misrepresent the results for your department, please contact CEM by emailing firstname.lastname@example.org or by telephoning Philip on 020 7067 1269.
Previous Audit Tools
Emergency Departments are welcome to use previous audit tools to assist them in conducting their own audits. Click on the links below:
- Asthma (last conducted by College in 2009/10) Asthma non-macro version
- Consultant Sign-Off audit (last conducted by College in 2012/13)
- Feverish children (last conducted by College in 2012/13)
- FNOF (last conducted by College in 2012/13)
- Pain in Children (last conducted by College in 2011-12)
- Paracetamol Overdose (last conducted by College in 2008/09)
- Renal Colic (last conducted by College in 2012/13)
- Severe Sepsis & Septic Shock (last conducted by College in 2011/12)
- Urinary Retention (last conducted by College in 2007/08)
- Vital signs in majors (last conducted by College in 2010/11)
- Data Discharge Governance