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How to do the Audit
Title
PCRS-UK COPD Diagnosis and Spirometry Audit
Aim
To audit aspects of diagnosis of COPD in primary care.
Registration
This audit can be done by both practice-based and also freelance or sessional health professionals:
- Practice-based doctors and nurses: please download and complete this form, to provide baseline demographic information about your practice.
- Sessional and freelance health professionals: please download and complete this form to register.
Please return your completed form to Dr Mark Levy who will send you your log-on details.
You can start doing the audit using print forms (see links below), and enter the details online once you reeive your log-on detaiuls.
Doing the audit
Please list all the patients diagnosed with COPD in your practice, and then randomly select 10 of them. (In larger practices, you might wish to select a larger sample of patients – it's up to you to decide.) There are various ways of getting a random selection of patients, the important thing is to try get a fairly representative sample. Example methods for selecting a sample from the list of COPD patients include: If there are a small number of COPD patients in the practice, then choose every 5th patient in the list. In larger practices choose very 11th or 21st patient for example – so that a selection is made across the spread of the list. Please continue from the top of the list if you get to the bottom and do not have 10 selected. Then add the details of these patients to the form (click here).
Then for each patient selected, complete a data entry form (click here).
Enter the data from the audited patients onto the online data entry template using your personal log-on details from Dr Mark Levy. After you save each patient's data on the system, you will be able to see whether you have achieved the standards set for this audit.
Audit standards
- 90% of patients diagnosed with COPD have current smoking status recorded
- 90% of patients diagnosed with COPD have had their diagnosis confirmed by spirometry
- 100% of patients who have had spirometry should have a tracing/spirogram in the records
- 100% of diagnosed COPD patients have a record of an FEV1/FVC ratio < or equal to 70%
- 60% of patients diagnosed with COPD have a recorded post bronchodilator FEV1< 80%
- In 80% of spirometry tests, the difference between the best two FEV1 readings should be less than 150ml
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