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It outlines required roles for the audit lead and sponsor, defines audit rationale and standards to be measured for compliance, and specifies methods, including retrospective case note review and sampling with an agreed sample size. It also covers timetable planning, service-user/carer involvement, submission for Trust R&D approval, tool publication, reporting, action planning, risk escalation, and re-audit to sustain improvement using comparable strategies.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":51,"@type":70,"position":76},"https://docshare.wps.com/template/general/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/clinical-audit-project-plan/170793/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/clinical-audit-project-plan/170793.png","ImageObject",442,249,{"name":88,"@type":89},"Angel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-01","2026-09-01",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What information is required to complete the Clinical Audit Project Plan before starting the audit?","Question",{"text":108,"@type":109},"The plan requires details of the audit lead and sponsor, audit rationale and expected benefits, standards to be audited and compliance measures, methods (including retrospective review and sampling), planned sample size, timetable, and guidance on service-user/carer involvement and barriers.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How should approvals and audit registration be handled in the organisation?",{"text":113,"@type":109},"The completed project plan must be submitted for approval to the Trust R&D Governance Group by email. After approval, the audit team should receive the proposed audit tool (questionnaire or data collection form), and the audit must then be registered on the Clinical Audit Programme.",{"name":115,"@type":106,"acceptedAnswer":116},"What must happen after the audit is completed, and how does re-audit support sustained improvement?",{"text":117,"@type":109},"Findings must be documented in a brief report and disseminated for organisational learning. An action plan is required to improve practice where compliance is below target, risks should be escalated to line or service managers, and a re-audit should be planned after actions are embedded using comparable methods for demonstrable improvement.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},170793,1788275573,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":125,"read_time":73},687207412472,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","CLINICAL AUDIT PROJECT PLAN\nPlease complete this project plan before starting your project.\nDetails of Audit Lead (Who is the person responsible for completing the audit?)\nDetails of Audit Sponsor: (Who is the person responsible for overseeing/supervising the project and/or audit lead as required)\nRationale for Audit:\nWhy is this audit needed and what are the expected benefits?\nBased on your audit rationale how would you classify this audit?\nWhat standards will be audited?\nList the audit standards being measured for compliance\nDo the audit standards cover the practice of one or more professional groups?\nWhat methods will be used?\nHow will you carry out the audit e.g retrospective case note review, sampling method?\nWhat is your planned sample size? (Total sample size and if relevant any breakdowns by Teams/Services/Divisions to be included in your audit sample)\nWhat is your planned project timetable\nHow will service users or carers be involved in this audit?\n(If service users/carers are not involved are there any barriers to involving them?)\nPlease note if this is a re-audit you should refer to the original project plan and audit tool to re-use methods which will ensure comparability of results.\u000f\nCompleting Clinical Audit projects at Derbyshire Healthcare NHS FT.\nContact the clinical audit team to discuss your project.\nComplete the Clinical Audit Project Plan and return to the audit team along with any other relevant information you may have at this stage such as your draft audit tool.\nThe project plan will be submitted for approval to the Trust R&D Governance Group via email.\nOnce approval has been obtained, send the audit team your proposed audit tool (or questionnaire or data collection form) if you have not already done this.\nYour project will now be registered on the Clinical Audit Programme.\nYou can now start your audit and remember to keep us updated of your progress especially if your planned timescales slip.\nRemember - on completion of your project clinical audit findings must be documented in a brief report and disseminated for wider organisational learning.  An action plan must also be developed to improve practice where compliance is below target and a re-audit planned once the actions have been implemented and embedded into practice.  Any areas of risk identified by your audit should be escalated to your line or service manager for advice on any immediate remedial actions.\n(Report and Action Plan templates are available for completion)\nClinical Audit Stages (HQIP – Healthcare Quality Innovation Partnership)\nStage 1 - Preparation and Planning (including for re-audit)\nThis involves selecting the topic of the clinical audit, ensuring that it is a priority agreed by all those involved in the process and that the standards by which current practice is measured against are evidence based. A clear project plan needs to be developed, making sure structures, responsibilities and timelines are in place and that it is properly resourced with all relevant participants. Any financial costs associated with running the clinical audit should be identified and agreed, with those responsible for enabling necessary changes in practice committed and providing the necessary leadership.\nStage 2 - Measuring Performance\nA detailed methodology and data collection process is designed and tested, including a sufficient sample size and a clear and concise data set. Data are analysed using appropriate statistical measurements and reported in a way that maximises the impact of the clinical audit by ensuring that results are communicated effectively to all key stakeholders.\nStage 3 - Implementing Change\nOnce the results of the audit and recommendations for change have been published, an action plan should be produced to monitor implementation of these recommendations.\nStage 4 - Sustaining Improvement (including re-audit)\nAfter an agreed period, the audit should be repeated. The same strategies for identifying the sample, methods and data analysi","cbCaij0QkKkHoaTI","https://ap.wps.com/l/cbCaij0QkKkHoaTI","docx",76600,"English","# Clinical Audit Project Plan\n## Key Roles and Audit Rationale\n## Standards, Methods, and Sampling\n## Project Timetable and Stakeholder Involvement\n## Approval, Registration, and Progress Updates\n## Reporting, Action Plan, Risk Escalation\n## Clinical Audit Stages (HQIP)","[{\"question\":\"What information is required to complete the Clinical Audit Project Plan before starting the audit?\",\"answer\":\"The plan requires details of the audit lead and sponsor, audit rationale and expected benefits, standards to be audited and compliance measures, methods (including retrospective review and sampling), planned sample size, timetable, and guidance on service-user/carer involvement and barriers.\"},{\"question\":\"How should approvals and audit registration be handled in the organisation?\",\"answer\":\"The completed project plan must be submitted for approval to the Trust R\\u0026D Governance Group by email. After approval, the audit team should receive the proposed audit tool (questionnaire or data collection form), and the audit must then be registered on the Clinical Audit Programme.\"},{\"question\":\"What must happen after the audit is completed, and how does re-audit support sustained improvement?\",\"answer\":\"Findings must be documented in a brief report and disseminated for organisational learning. An action plan is required to improve practice where compliance is below target, risks should be escalated to line or service managers, and a re-audit should be planned after actions are embedded using comparable methods for demonstrable improvement.\"}]","Clinical Audit Project Plan | DOCX"]