The Queensland Bedside Audit (QBA) is a major clinical patient safety audit undertaken within Queensland Health every year.
The data collected during the audit are used by Hospital and Health Services as evidence in meeting National Safety and Quality Health Service Standards (second edition) and other key safety and quality indicators.
The information is collected at the bedside and includes a review of documentation and a physical examination of consenting patients.
The results help to identify areas for improvement and establish a safety and quality framework that enables the delivery of the best possible care to patients.
In 2018, 117 inpatient Queensland Health facilities and 19 public residential care facilities participated in the Queensland Bedside Audit.
The 2019 QBA will be conducted from 1-31 October 2019.
What does the audit involve?
The Queensland Bedside Audit consists of:
- a review of clinical documentation for all eligible patients
- a physical examination of consenting patients
- asking patients questions on elements of their healthcare
- a review of the bed area.
Areas of the audit include:
- patient identification
- patient experience
- pressure injury prevention
- malnutrition prevention
- falls prevention
- delirium prevention and cognitive impairment management
- recognising and responding to acute deterioration.
- medication safety
Benefits of the QBA
Facilities that participate in the QBA receive reliable and clinically valid data that is not available through any other data collection system. By participating each year, a facility can compare key outcome and process measures over time to assess the impact of their improvement initiatives. Importantly, evaluation shows the QBA also:
- directly influences clinical practice change by educating staff at the frontline and raising awareness of key issues during the audit process
- promotes a culture of safety and quality by engaging staff at all levels and disciplines
- promotes a commitment to patient safety to consumers and staff.
In the years since statewide pressure injury prevalence audits commenced and other pressure injury prevention initiatives were implemented, the statewide inpatient hospital-acquired pressure injury prevalence has decreased from 14% in 2003 to 3% in 2018. It is estimated that the joint impact of the audit and initiatives has prevented approximately 67,213 overnight hospital inpatients acquiring a pressure injury while in hospital.