Audit and Significant Event Analysis does not have to feel like this!

 

 

The Yorkshire Deanery expect s six SEAs in each ST year and one detailed audit with completion of a second cycle during ST2 (or a reflection on a QOF performance area or a project using the Primary Care Trigger Tool). At Pennine we also expect 1 mini audit per year. So have a read of our helpful downloads, browse examples of our GPST mini audits and have a look at some of their suggested topics.

Downloads......

 

SEA

 

GPSTs need to be completing and uploading at least SEAs per ST year.

 

Significant Event Analysis (click) - what is it and how to do it?

 

Guidance on the new SEA, audit/project and reading e-portfolio domains (click)- 2008

Guidance from the Yorkshire Deanery for Trainees and Educational Supervisors on the new e-portfolio domains which were added shortly after publication of the excellent e-portfolio pearls document.

 

 

Primary Care Trigger Tool

 

The Primary Care Trigger Tool (click) was developed and tested by the NHS Institute with GP teams throughout England. The PCTT uses rapid structured casenote review to bring highly sensitive adverse event measurement within reach of every primary care team.  It can be undertaken in 4-5 minutes per patient.  A rapid first pass screen is performed by any member of the practice team, looking for the presence of ‘triggers’ – features in the notes known to indicate vulnerable patients, high risk care or high likelihood of adverse event.  Any patient with a trigger present in the past year is reviewed in more detail by a Doctor or Advanced Nurse Practitioner, to determine if any adverse events or near miss occurred relating to the trigger. Those identified can then be reviewed as per SEA to determine cause and appropriate remedial action to be made.  Repeating the PCTT will hopefully show a reducing rate of events!

 

In 2010 the Y&H Deanery will accept a good quality project using a number of cycles of the PCTT in place of an audit or QOF reflection. See our provisional guidance for GPSTs (click).

 

 

Audit

GPSTs need to go through 2 audit cycles of an audit which is relevant to general practice, and upload it into their e-portfolio, prior to the ARCP panel at the end of ST3.

 

Audit made easy (click) - a brief guide to the principles of audit.

 

Audit in more detail (click) - a more detailed guide on how to avoid the pitfalls and ensure a pain free successful audit.

 

Audit topics suggested by our GPSTs (click) - can't think of an idea? Why not have a look at some of our GPSTs suggestions.

 

Potential projects suggested by our GPSTs (click) - can't think of an idea? Why not have a look at some of our GPSTs suggestions.

 

 

Examples of GPST audits from 2011/10 which satisfied the ARCP panel

 

UTI Rx (click)

 

Nsaids and ppi (click)

 

Sucrose and imms (click)

 

Red Flags & Back Pain (click)

 

Hepatitis A (click)

 

DMARDS drug monitoring (click)

 

Swine flu (click) - this one takes a little while to download

 

 

 

Examples of GPST mini audits from 2009 & 2010

 

Have a look at some of our GPSTs'  mini audit presentations

 

Familial hyperlipidaemia (click)

 

Coeliac Disease (click)

 

What's in a name? (click)

 

Clopidogrel and PPIs? - you need to download this excellent audit and then open the file, as it is a compressed file

 

Buzz now! (click)

 

PIT alarms (click)

 

Amiodarone 1 (click)

 

Amiodarone 2 (click)

 

Osteoporosis 1 (click)

 

Osteoporosis 2 - you need to download this excellent audit and then open the file, as it is a compressed file