Significant event reporting and clinical audit
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Significant event reporting and clinical audit
Published 20 April 2022
Despite our best efforts there will be occasions when things go wrong. One of the most important things we can do is to ensure that these events are seen as an opportunity for learning and improving systems to reduce the risk of similar problems in future.
Significant event reporting
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- Mosedale, P. (2017) Learning from mistakes: the use of significant event audit in veterinary practice. Companion Animal, 22 (3), pp. 140-143. https://doi.org/10.12968/coan.2017.22.3.140
- Hartnack, S. et al. (2013) Critical incidence reporting systems – an option in equine anaesthesia? Results from a panel meeting. Veterinary Anaesthesia and Analgesia, 40 (6), pp. E3-E6. https://doi.org/10.1111/vaa.12065
- Bischoff, S. et al. (2018) Learning from negative results-critical incident reporting system in laboratory animal science (CIRS-LAS. de). Journal of Animal Research Veterinary Science, 2: https://dx.doi.org/10.24966/ARVS-3751/100009
- Pang, D.S., Rousseau-Blass, F. and Pang, J.M. (2018) Morbidity and mortality conferences: a mini review and illustrated application in veterinary medicine. Frontiers in Veterinary Science, 5: 43 https://doi.org/10.3389/fvets.2018.00043
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- Significant event audit [RCVS Knowledge. QI Resources][online]. Available from: https://knowledge.rcvs.org.uk/quality-improvement/tools-and-resources/significant-event-audit/ [accessed 14 April 2022
- Tools to help you complete Significant Event Audit – Root cause analysis [RCVS Knowledge. QI Resources][online]. Available from: https://knowledge.rcvs.org.uk/document-library/tools-to-help-you-complete-significant-event-audit/ [accessed 14 April 2022]
- Mosedale, P. (2017) Joined up clinical governance: learning from our mistakes [podcast]. Veterinary Evidence, 2 (1). https://doi.org/10.18849/ve.v2i1.98
- Protecting patients, clients and clinicians from professional errors [The Veterinary Defence Society][online]. Available from: www.vds-vetsafe.co.uk [accessed 14 April 2022]
Clinical audit
We do not have to wait for things to go wrong, to put measures in place to improve the quality of care. Clinical audit provides a method for involving the team in improving the quality of care and these references may give you some ideas on where to start . Further support is available on the RCVS Knowledge website
Clinical audit [RCVS Knowledge. QI Resources][online]. Available from: https://knowledge.rcvs.org.uk/quality-improvement/tools-and-resources/clinical-audit/ [accessed 14 April 2022]
- Waine, K. et al. (2018) A cross-sectional study of experiences and attitudes towards clinical audit of farm animal veterinary surgeons in the United Kingdom. Veterinary Sciences, 5 (4), p. 84. https://doi.org/10.3390/vetsci5040084
- Waine, K. et al. (2021) Assessing the feasibility of retrospective and prospective clinical audit in farm animal veterinary practice. Veterinary Sciences, 8 (4), p.62. https://doi.org/10.3390/vetsci8040062
- Rose, N., Toews, L. and Pang, D.S. (2016) A systematic review of clinical audit in companion animal veterinary medicine. BMC Veterinary Research, 12, 40. https://doi.org/10.1186/s12917-016-0661-4
- Rose, N., Kwong, G.P. and Pang, D.S. (2016) A clinical audit cycle of post‐operative hypothermia in dogs. Journal of Small Animal Practice, 57 (9), pp. 447-452. https://doi.org/10.1111/jsap.12547
- Waine, K. and Brennan, M. (2015) Clinical audit in veterinary practice: theory v reality. In Practice, 37 (10), pp. 545-549. https://doi.org/10.1136/inp.h5457
- Waine, K. et al. (2018) Clinical audit in farm animal veterinary practice: Part 1: preparing for audit. In Practice, 40 (8), pp. 360-364. https://doi.org/10.1136/inp.k3950
- Waine, K. et al. (2018) Clinical audit in farm animal veterinary practice. Part 2: conducting the audit. In Practice, 40 (10), pp. 465-469. https://doi.org/10.1136/inp.k4798
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