Free audit report template 17

Audit of Registered Nurse Prescriber (RNP) Prescribing Practices
Sample Template for Clinical Audit Report1
Title of Audit:

Date of Report:
Department/Speciality:

Re-audit date:

Audit lead/Author:

Job Title:

Health Service Provider:
Key Stakeholders:

Names:

Department/
Specialty:

Background & Aim:
Say why the audit was
undertaken, e.g fulfilling
NMBI
requirement
for
auditing nurse and midwife
prescribing. State what the
project is trying to achieve:

Standard/Criteria Selection:
Eg: Practice Standards and
Guidelines for Nurses and
Midwives with Prescriptive
Authority (An Bord Altranais,
2010)
National Policy for Nurse
and Midwife Medicinal
Product Prescribing (HSE,
2012)
Methodology:
State

1

Source: A Practical Guide to Clinical Audit, Health Service Executive, 2013

___________________________________________________________________________________________________

1

 Chosen population
 How sample selected
 Retrospective
 Sample size
 Identify tool used
Results:
State