Template

Clinical Audit Proposal Form

by andry mamitiana, from the Community

This clinical audit proposal form helps healthcare teams plan audits that improve patient care. Capture project title and type, background and rationale, clear aims and objectives, inclusion criteria and estimated sample size, and the standards you will audit against. Specify data collection methods and sources such as interviews, observation, patient records, questionnaires, and IT systems. Identify stakeholders and patient or service user involvement, and set anticipated audit dates. The form also includes declarations and signature fields for the audit lead and senior supervisor to confirm ownership and completion.

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Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Clinical Audit Proposal Form
A clinical audit proposal form specifies the background/rationale, aims/objectives, sample inclusion criteria, standard statement, and method of data collection prior to a local or national government-initiated clinical audit. Identify potential stakeholders and patients or service users to be involved and specify anticipated audit dates with the use of this clinical audit proposal form. Before submission, the audit lead and the audit sponsor, usually a senior supervisor, can digitally affix their signatures in this clinical audit proposal form.
by SafetyCulture
Downloads: 200+
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Template
Clinical Audit Checklist
Use this clinical audit checklist to plan and run end-to-end audits in healthcare settings. Identify an audit lead, committee members, and stakeholders; define aims and standards based on evidence; document methods, sampling and data collection; analyze results, share findings, and create an action plan to address gaps. Track implementation, monitor impact, and sustain improvements with ongoing checks. Capture photos and notes, assign corrective actions with real-time notifications, and finalize the report with digital signatures to meet clinical governance and information security best practices.
by Monique Victer, from the Community
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Template
Clinical Audit Checklist
Use this mobile-ready clinical audit checklist to easily identify clinical audit lead, committee members, and stakeholders, assess preparation and planning, standards/criteria selection, performance gauging, change implementation, and improvements maintenance, document the clinical audit with photos and additional notes, send real-time notifications of to-do tasks or corrective actions, and complete the clinical audit report with digital signatures.
by SafetyCulture
Downloads: 1,000+
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Template
Patient Identification Audit Checklist
Use this patient identification audit to help healthcare teams confirm the right patient every time across admission, transfer, procedures, specimen collection, and medication administration. Verify two identifiers, check ID wristbands for accuracy and legibility, match orders and consent, flag allergies, and correct EHR records. Capture noncompliance, assign corrective actions, and track completion to reduce misidentification risk and support patient safety standards.
by EMAN ALSHAIKH, from the Community
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Clinical Audit Proposal Form

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