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Developing the Next Generation in Electronic Clinical Auditing: CoBRA Tool
Heather Kidd1, Samantha Rankin, Lucia Gillman
1Safety Organisational Learning & Development, Royal Perth Bentley Group, Perth, Western Australia.
Background:
Although auditing is embedded into clinical culture, data collection tends to be retrospective, requires expertise, and is time consuming.
Local Problem:
Clinical audit data are needed in real time to manage patient safety issues.
Methods:
An iterative approach was undertaken to develop the electronic audit tool with a cross-sectional survey used for evaluation.
Interventions:
The Combined Bedside and Risk Assessment (CoBRA) audit tool captures patient safety risk and compliance such as falls, pressure injuries, and infections.
Results:
More than 17 956 safety audits were collected on randomly selected inpatients. Monthly audits completion average is 96% (n = 614). Patient safety risk mitigation is available in real time. Stakeholders stated that the CoBRA tool was useful in educating patients on risks (n = 141; 78.3%), improved patient care (n = 120; 67.4%), and prompted staff to modify patient care based on CoBRA findings (n = 98; 54%).
Conclusions:
The electronic CoBRA process facilitates patient safety risk mitigation and data transparency.
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