Chart Auditing

Specialties Emergency

Published

Specializes in Emergency.

Does anyone have a chart audit form that they would be willing to share? I need to develop something, and i have no idea where to start. Any help or guidance would be greatly appreciated.

:)

Up Vote Up Vote ×
Specializes in Med/Surg.

I've done a lot of chart auditing before but it was all for a specific purpose, what are you looking for?

Up Vote Up Vote ×
Specializes in Gerontology, Med surg, Home Health.

I think the focus of the audit would depend on where you practice. My audits of charts in the SNFnwould be of little use to someone who works in an ER or ICU.

Up Vote Up Vote ×

If you let me know what you are auditing, I can create one for you. I do chart audits all the time and make up my own.

Up Vote Up Vote ×

I need a chart audit tool for LTC. I am also new to this role and currently we have about 3 different tools but none are effective. I'm looking for something that can streamline the process and be a complete tool. Something that includes MDS completed/signed timely, admission orders completed and signed within time frame. It would need to include documentation criteria, ADL's, care plans..all the important aspects. It would be a HUGE help to me to have just one tool, I can use to do monthly audits on all the units.

Up Vote Up Vote ×

I created an audit tool for kyshoegal. I am not sure how to email back to you.

cher1157

Up Vote Up Vote ×

you can email me at [email protected]. THANK YOU SO MUCH!!

Up Vote Up Vote ×
Specializes in Emergency.

I am looking at ER charts that are paper, and focusing on Triage and Lenght of Stay. I am not sure where to begin with this.

Up Vote Up Vote ×
+ Add a Comment