The 8TH EDITION focused on PILLAR ON AUDIT IN HEALTH PRACTICE was held on THURSDAY, AUGUST 17TH, 2023, on Zoom
Lecture 1: Prof Joseph Ana shared the background to the Pillar and why it was created in the 12-PCGP in 2004, explaining that where there is no ‘No Audit’, there cannot be ‘Quality Improvement’. He added that Audit involves all Hospital personnel both clinical and non-clinical: it is multidisciplinary and multispecialty. It must not be seen as an additional chore, because Audit (Reflective practice) is what defines our professionalism as health practitioners. He added that Audit is not to victimize staff, rather it is for continuous quality improvement of care to patients, and for sustained strengthening of the facility.
Lecture 2: ‘Multi-disciplinary AUDIT IN HEALTH PRACTICE’ delivered by Dr. Omatsola Kpiasi. MBBS., M. Sc. FRCS, Lily Hospitals. He described in good detail the structure and implementation of Audit in Lily Hoslital as an example of how it is done in Nigeria despite all the challenges facing health care delivery in the country, as follows:
I) STRUCTURE: Successful implementation and start-up of Clinical Audit requires a coordinated approach with structures and defined Roles and Responsibilities within the Clinical Governance system in the hospital: : Clinical Audit Facilitator, Clinical Audit Resource Office, Unit Convenors, Clinical Audit Committee;
II) Define Audit Tool Elements to be used, the acceptable level of compliance for each tool., most compliant items, cumulative audit findings, compare audits (e.g. Jan-Jun & Jul 2022), note most compliant items; and note the reasons for non compliance As an example Dr Kpiasi shared data from the Audit of the ‘ Use of Partograph in Labour Care’ in Lily Hospital. He concluded that ‘’Improvement is Never Ending’’ hence ‘Audit is Cyclical’. And that it is essential to note ‘What happens between one Audit and Re-audit?, thereby ensuring Quality Improvement (QI) e.g. Continuous Improvement Cycles of Deming based on PDSA/SACA in Kaizen.