Nursing Audit Checklists

Proactively identify improvement opportunities
Conduct nursing audits using a mobile auditing app

Published 15 Sep 2022

What is a Nursing Audit?

Nursing audit is a detailed process of evaluating the quality of nursing care through the review of clinical records made by healthcare professionals. It helps healthcare institutions ensure that patients consistently receive quality patient care and allows nurse managers to determine healthcare improvement opportunities.

This article briefly discusses the following:

What is the Purpose of it?

A nursing audit checklist is a tool used by a head nurse or manager when conducting a nursing audit. It aids nursing heads in determining if patient care is aligned with the healthcare institution’s standards and in reviewing clinical records that can help indicate gaps and areas for improvement in patient care.

Two Methods

  • Concurrent Nursing Audit
    This nursing audit method is conducted while the patient is currently undergoing treatment at the healthcare facility. It involves staff interview and patient assessment in addition to the review of the patient’s records.
  • Retrospective Nursing Audit
    This type of nursing audit is conducted after the discharge of the patient from the healthcare facility wherein the auditor determines the quality of patient care based on clinical records. 

5 Steps for Conducting an Audit

  1. Create an audit team composed of senior nurses and other members who will be impartial auditors.
  2. Get the buy-in of healthcare staff. Help them understand the goal of the audit and the benefit to the patients, staff, and the healthcare institution.
  3. Determine the type of nursing audit method and proceed with the nursing audit using technology that can help measure the nursing audit result and analyze the information gathered.
  4. Review and analyze the data gathered to determine if the patient care being provided is at par with the healthcare institution’s standards.
  5. Promote best practices and maintain quality patient care by conducting internal audits and address gaps found.

Nursing Audit Checklist Tool

Paper-based nursing audits can be costly to conduct and time-consuming to review and analyze. Time spent on manually going through all the individual audit results and making sense of all the data gathered can be better spent working on gaps found and further improve the quality of patient care. iAuditor, the world’s most powerful mobile auditing app, can help healthcare institutions save time and effort in conducting nursing audits and better promote quality patient care by helping you do the following:

  1. Create mobile-ready nursing audit checklists.
  2. Empower teams to conduct efficient nursing audit procedures and analysis using a smartphone or tablet.
  3. Save time with a mobile app that generates comprehensive reports as you finish an audit.
  4. Automatically save all reports in secure cloud storage. Preview a sample web and PDF report.
  5. Use for free with small teams. Unlimited reports and storage for premium accounts. 

FAQs About Nursing Audit

The types of audits typically used for quality improvement in nursing are:

  • Outcome audit: This is used to determine the effects of the care provided by nurse staff since health results are, quite directly, tied to the quality of care that was given.
  • Process audit: As the name suggests, this is focused on the processes and tasks involved in delivering the care, how were they fulfilled, and if they are at par with the standards.
  • Structure audit: Structure audit prioritizes the setup in which patients are cared for. It also emphasizes the importance of other factors involved in providing nursing care such as service, environment, and finances.

Audits in healthcare are used as an improvement method that determines if the quality of care provided to patients is according to a set standard. Healthcare audits usually include a review of outcomes, processes, structures, and other important factors in delivering quality care.

Healthcare audits are important because they enable healthcare providers, institutions, and facilities to proactively identify deficiencies and areas for improvement in the care that they deliver. Audits allow them to address such issues before they further impact patients, and overall, enhance the services that they do for patients.

SafetyCulture staff writer

SafetyCulture staff writer

Erick Brent Francisco

Erick Brent Francisco is a content writer and researcher for SafetyCulture since 2018. As a content specialist, he is interested in learning and sharing how technology can improve work processes and workplace safety. His experience in logistics, banking and financial services, and retail helps enrich the quality of information in his articles.

Erick Brent Francisco is a content writer and researcher for SafetyCulture since 2018. As a content specialist, he is interested in learning and sharing how technology can improve work processes and workplace safety. His experience in logistics, banking and financial services, and retail helps enrich the quality of information in his articles.