Audit Clinical audit: – measures existing practice against evidence based clinical standards Service evaluation: – Measures the effectiveness/efficiency of existing services Base-line or organisational audit Benchmarking Clinical effectiveness study Audit analysis Research: – Creates new knowledge where there is no or limited research evidence which has the potential to be generalisable/ transferable
Standards International – International Federation Clinical Neurophysiology – International Society Clinical Electrophysiology Vision American – American Association Neuromuscular Electrodiagnostic Medicine – American Academy Sleep Medicine UK: BSCN and ANS – Nerve Conduction Studies in CTS/Ulnar nerve/Peripheral Neuropathy – Intraoperative EP Monitoring
Aims of National Audit Projects Measure against existing National Standards : Clinical Audit Devise more standards from large UK evidence base : Service Evaluations
BSCN and ANS collaboration Audit Planning Group: 3 ANS and 3 BSCN members Contact list – Head of Department contact list – Invited to nominate Audit Lead – Asked for missing/satellite department details Chose topics – Safety and efficacy of hyperventilation: Survey and Service evaluation – Safety of video telemetry: Survey and Service evaluation – BSCN/ANS NCS standards for CTS: Audit Produced and piloted paperwork (including model registration) Distributed paperwork and collated data Created databases Data entry and analysis with help from colleagues Suggest provisional standards/guidelines
Participating centres: 66 invitations August 2011 >7100 responses HV and VTCTS
Thanks to: BSCN and ANS Mary Boland ‘Co-opted’ speakers Admin staff in Stoke and Sheffield Jeremy Bland
… and of course Poole Northampton London Barnstaple Leeds Preston Sunderland Chalfont Clwyd Manchester/Salford Aberdeen Norwich Chertsey/Guildford/St Helier Canterbury Leicester Plymouth Sheffield Hereford Stoke-on-Trent Cambridge Stafford Coventry Birmingham Edinburgh Cardiff Bristol Glasgow Larbert Taunton Worcester Southampton Paisley Inverness Belfast Dundee Middlesbrough Hayward’s Heath York Portsmouth Ipswich King’s Lynn Exeter Newcastle Oxford Medway Liverpool
The Future Infrastructure established Learnt from mistakes! – Give more examples in paperwork – Care with numbers – Missing departments/wrong addresses Registration with Healthcare Quality Improvement Partnership Publication results: websites and journals New projects and leaders: Suggestions New chair: BSCN/ANS alternate 1 or 2 yearly cycles Result presentations: separate or integrated meetings?