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Significant event audit
Take our free CPD course and discover how to put significant events to good use by evaluating them and embedding your findings in practice. This course will open in a new window and require registration.
A handy infographic that explains the process of a significant event audit. Ideal to print! (PDF Doc).
You can use this template to structure your significant event audit. Once downloaded, please 'save as' and reopen from your saved location (Word Doc).
Tools to assist in significant event audit meetings
This document discusses root cause analysis, the 5 whys, contributory factors checklists and the cause and effect diagram. Using a clinical example you can see how these tools can find the true cause of a significant event in practice and help steer your team away from a blame culture (PDF Doc).
You can use this checklist to assist in significant event audit meetings, to help identify the root cause of an event. Once downloaded, please 'save as' and reopen from your saved location (Word Doc).
When undertaking a significant event audit, this diagram can help your team find the possible root cause(s) of a problem (PDF Doc).
Significant Event Audit Case Examples
This case example details a significant event audit that was completed in practice after a patient received an opioid overdose. It is useful to see the steps undertaken to complete the audit, and what information was discovered that lead to the cause of the event (PDF Doc).
This case example details a significant event audit that was completed in practice after a patient deteriorated and cardiopulmonary resuscitation was required. It is useful to see the steps the team took to provide care to the patient and each other, as well as the processes that were in place to help (PDF Doc).
This case example details a significant event audit that was completed at a mock veterinary practice 'QI Vets'. The first of our features in Veterinary Times looks at how the team took action after a kitten suffered from fluid overload (PDF Doc).
This case example details a significant event audit that was completed at a mock veterinary practice 'QI Vets'. The second of our features in Veterinary Times looks at how the team took action after it was discovered there was less methadone in stock than recorded in the controlled drugs register (PDF Doc).
Elisa Best created a sealed emergency 'BOAS box' to be prepared for a BOAS patient in crisis. This case example details the steps into creating and implementing box within practice (PDF Doc).
After a team lost a rabbit patient under anaesthetic, they perform a significant event audit to find out what happened and see if processes can be changed to help prevent it from reoccuring (PDF Doc).