Table 5

Suggestions in interviews (number of survey free-text responses) to improve Audit programme

Audit tool (n=15)Reduce time requirements*†
Allow export of already collected data*†
Build in skip/branch logic so removes/adds questions based on previous responses*
Allow for flexibility
  • To collect data on focus areas, with more frequent focused audit cycles*, coordinated with support from Stroke Foundation to improve clinical care in these focus areas

  • To have extra optional variables/ability to conduct out-of-cycle audits so it can be used for local research/quality improvement projects

Build functionality to allow business reporting at participating sites
Audit questions (n=29)Remove questions that are not included in report*†
Ensure all questions can guide better clinical practice, or be used for advocacy*†
Allow capture of data about contraindications to recommended treatments*
Clarify wording in questions so auditors do not need to interpret whether processes of care were delivered
Ensure other initiatives for example, stroke unit certification questionnaire use questions that align with questions on Audit
Track interhospital transfers (n=3)Allow capture of data about care processes for patients transferred to comprehensive sites from regional site/stroke ambulance*†
Collect waiting time to return to referring hospital*†
Track acute-rehabilitation stays (n=5)Allow capture of data for processes of care delivered before (for rehabilitation audit) or after (for acute audit) audited period
OR have separate audit for comprehensive sites
Timing of audit
Change date so not emphasising care in December* (key staff often on leave)
Change date so data closer to reporting period
Frequency and scope of audit (n=5)More than 40 cases*†
More frequent*
Allow 1 or 2 years’ worth of data
Allow entry of data throughout year when entering data for AuSCR (for people using paper-based records, to avoid having to re-order medical records)
Collect core dataset continuously
Audit report (n=4)Improve timeliness of data included in report*† (ideally real-time/living)
Benchmarking like-for-like hospitals nationally*
Include access to rehabilitation in acute audit report
Include cost effectiveness of care in different states (if possible)
Include numerator and denominator for calculations
Deliver report at beginning of financial year
Communication about audit programmeInclude rationale for audit questions*†
Let auditing/clinical teams know why data that isn’t useful for clinicians is being collected*†
  • *Raised in two or more interviews/focus groups.

  • †Raised by clinicians and administrators.

  • AuSCR, Australian Stroke Clinical Registry.