Quality of COPD Diagnosis Audit (Trial Version)

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This audit has been developed by Dr Mark L Levy for the Department of Health as a demonstration of a method for auditing the quality of COPD diagnosis in primary care. It is designed as a practical tool to help implement the department's new COPD National Strategy.

Although it is in its pilot phase, anybody wishing to register and participate in the audit is welcome to do so (click here for instructions).

The quality of diagnosis of Chronic Obstructive Pulmonary Disease (COPD) in primary care depends firstly on the quality and interpretation of the patient's medical history, and secondly on the quality of performance and interpretation of spirometry investigations, for confirmation of irreversible airflow obstruction.

The aim of this audit is to assess the quality of diagnosis of COPD in a practice.

The baseline or first audit will help to establish a degree of reliability of the diagnosis of COPD in the practice. Learning needs may be identified and any intervention taken as a result may be re-assessed by repeating the audit and completion of the cycle at a later date.

Standards for this COPD Diagnosis audit

  1. A tracing should be available in the records of 100% of patients who have had a spirometry test.

  2. 100% of the tracings should be usable.

  3. 60% of tests should meet reproducibility standards.

  4. In a 100% of tests performed on practice equipment, spirometer must have been serviced within the preceding 12 months.

  5. 80% of diagnosed patients should have a history of smoking.

  6. 100% of diagnosed patients should have a history suggestive of COPD.

  7. 100% of diagnosed COPD Patients should have FEV1/FVC ratio < 70%.

This audit is part of a suite developed by Dr Mark L Levy, a general practitioner in London. The audits in the suite can be used for personal educational development as evidence for appraisal and revalidation.


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