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Table 5 A description of the observations undertaken

From: Impetus to change: a multi-site qualitative exploration of the national audit of dementia

Ref

Title

Description

1

Clinical effectiveness committee

Organisation-level meeting held in board room, including presentation about national audit. 17 attendees, interviewees 1 and 6 present. The committee reports to the clinical governance committee (observation 5).

2

Clinical audit facilitation meeting

Meeting between dementia nurse specialist and clinical audit facilitator to plan the data collection for the national audit.

3

Dementia steering group

Meeting chaired by consultant to discuss improvements in dementia care, includes interviewee 6 and 24.

4

Junior (F1) doctor training and audit recruitment

Meeting to provide training to junior doctors and to seek involvement in data collection.

5

Clinical governance committee

Organisation-level meeting that reports to the Organisation Board. Presentation about national audit. 15 attendees, including interviewees 5 and 6.

6

National audit preparation meeting

Meeting between dementia nurse specialist (interviewee 6), organisation quality assurance lead and clinical audit lead (interviewee 1) to plan the data collection for the national audit.

7

Clinical governance meeting

Organisation-level meeting including presentation about national audit. 36 attendees.

8

Dementia steering group

Meeting chaired by consultant to discuss improvements in dementia care, 10 attendees including interviewee 14.

9

F1 training and audit recruitment

Meeting to provide training to junior doctors and to seek involvement in data collection.

10

Dementia steering group

Meeting chaired by consultant to discuss improvements in dementia care, 9 attendees including interviewee 6 and 24.

11

National audit preparation meeting

Meeting between dementia nurse specialist and ward manager.

12 - 15

National audit preparation meeting

Meeting between dementia nurse specialist and ward manager.

16

Record review

Data collection by dementia nurse specialist.

17

Record review

Data collection by consultant.

18

Record review

Data collection by dementia nurse specialist.

19

Dementia steering group

Meeting chaired by consultant to discuss improvements in dementia care.

20

Record review

Data collection by dementia nurse specialist.

21

Record review

Data collection by dementia nurse specialist.

22

Record review

Data collection by dementia nurse specialist.

23

Record review

Data collection by junior doctor (F2).

24

Record review

Data collection by dementia nurse specialist.

25

Data entry

Data entry by band 6 staff.

26

Ward meeting

Multidisciplinary huddle meeting to discuss both patient care and more general issues.

27

Directorate governance meeting

Specialty quality assurance meeting that reports to organisation-level committee.

28

Data entry

Data entry by band 6 staff.

29

Ward meeting

Multidisciplinary huddle meeting to discuss both patient care and more general issues.

30

Directorate governance meeting

Specialty quality assurance meeting that reports to organisation-level committee.

31

Organisation Clinical Effectiveness meeting

Organisation-level meeting held in Board room, including presentation about national audit. 10 attendees, interviewee 30 present. Committee reports to the Clinical governance committee.

32

Ward meeting

Multidisciplinary huddle meeting to discuss both patient care and more general issues.

33

Ward meeting

Multidisciplinary huddle meeting to discuss both patient care and more general issues.

34

Record review

Data collection by nurse.

35

Clinical governance meeting

Organisation-level meeting that reports to the organisation Board. Presentation about national audit. 11 attendees, including interviewee 18.

36

Clinical audit project meeting

Project meeting to discuss set up of new audit process, 7 attendees including interviewee 19.