1. Planning: Define the scope and objectives of the audit. Identify the data sources and set criteria for evaluation.
2. Data Collection: Gather the necessary data from various sources such as electronic health records (EHRs), patient charts, and other clinical documentation.
3. Data Evaluation: Assess the data against predefined standards and criteria. Look for inconsistencies, missing information, and errors.
4. Reporting: Document the findings of the audit, highlighting areas of non-compliance and opportunities for improvement.
5. Action Plan: Develop and implement a plan to address the issues identified during the audit. This may involve training staff, updating protocols, or implementing new technologies.
