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A year of clinical audit, told twice

Your audit register is a spreadsheet. Your evidence is a poster by the elevators.

Here's how a year of audit goes in most hospitals today. Then the same year on Prep Medics.

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How it usually goes

  1. January A resident fills in the audit form. A row appears in a sheet.
  2. March The quality team emails: "Any update?" No reply.
  3. June A nurse on the hospitalist unit starts the same audit. Nobody knows.
  4. August The resident rotates. The data is on their laptop.
  5. October A poster goes up by the elevators. It comes down for the flu campaign.
  6. Next January The board asks if it worked. Nobody can say.

1 · Registering

The register is only as good as the last time someone updated it.

On Prep Medics, starting an audit is registering it. It goes through your own approval route, and the moment it's approved it's on the register with its number. The work happens there, so the register stays up to date without anyone typing into it.

Now

Audit titleLeadDeptStatus
Sepsis auditDr K?EDin progress
Sepsis screeningJ LeeHospital medicine??
VTE re-auditinternsMedcomplete?
Consent formsS AhmedSurgstalled

same audit twice? · left in August · which standard??

With Prep Medics

Audits · St. Anne's Medical Center

All departments

  • Sepsis screening in ED

    Collecting data

    QA-2026-031 · Dr. K. Osei · SEP-1

  • VTE assessment · Oct round

    Collecting data

    QA-2025-118/11 · repeats monthly · Medicine

  • Consent form completion

    Awaiting approval · 2 of 2

    Department lead ✓ · Quality team lead reviewing

Lead, department, standards and goal captured once. Progress comes from the project's own milestones. When someone leaves, the work stays.

2 · Following up

The quality team spends its week chasing emails.

On Prep Medics they can see every audit in their departments, open any of them, and get a summary each Monday. Repeating audits open the next round by themselves.

Now

Inbox · 47 unread

  • RE: RE: RE: Sepsis audit update?
  • Automatic reply: on annual leave until…
  • RE: Who is leading the VTE re-audit?
  • Quality committee: papers needed by Friday

then copy the replies back into the sheet…

With Prep Medics

Consent form completion

  1. ✓ Standards agreed
  2. ● Data collection due 30 Sep
  3. ○ Results and action plan
  4. ○ Re-audit

Monday 7:02 · emailed

Quality committee board

Running

38

Completed

12 ▲ 2

VTE round 11 opened on 1 Nov with last round's team.

The quality committee papers are a download: a branded PDF or PowerPoint from the same board.

3 · Connecting people

Two units audit the same thing and never meet.

On Prep Medics, projects sit under the hospital's goals, so everyone working on sepsis can see each other. Leads post the roles they need, and people from any unit can apply.

Now

ED
"Sepsis audit"
own form · own standards
Hospital medicine
"Sepsis screening"
own form · own standards

two hundred yards apart. never met.

With Prep Medics

Goal

Improve sepsis care · 3 projects · 11 people

  • Screening in EDAudit · ED
  • Antibiotics in 1 hourImprovement · Hospital medicine
  • Pediatric sepsis toolPathway · Peds

Screening in ED is looking for a hospital medicine nurse
2 hours a week · data collection

Apply

4 · Sharing what was learnt

The poster goes on the wall. Nobody reads it.

On Prep Medics the poster's QR code opens an interactive showcase with the live charts, a short quiz and a certificate. You can see how many people read it, and the next team can search for it.

Now

Sepsis screening audit

results · conclusions · refs

Get your flu jab!

read by: ?

next team starts from scratch

With Prep Medics

Showcase

Sepsis screening in ED

Quick check · 2 of 4

When should antibiotics be given?

Within 1 hour ✓

Within 4 hours

Readers
412
Read to the end
61%
From the poster QR
138
Certificates
57

Has anyone audited sepsis screening?

3 showcases found, from ED, Hospital medicine and Northfield General

5 · Showing it worked

"Did it make a difference?" "We think so."

On Prep Medics every round adds to the same chart, so the change is there to see against the standard. Where it saves time, beds or money, it's priced and counted in the hospital's totals.

Now

Round 1

62%

Jan · Excel

→ ? →

Re-audit

—

never happened

the loop never closes

With Prep Medics

Screened within 1 hour

p chart · 12 rounds

57% 78% 100% Standard 90% R1R3R5R7R9R11
Improvement Concern Mean Limits
Standard met since round 9 Linked to the sepsis pathway

The ending you want

The same year, on Prep Medics.

  1. January

    The resident proposes the audit. The department lead and the quality team lead approve it, and it's on the register with its number, under the sepsis goal.

  2. February

    A nurse on the hospitalist unit sees the opening and joins. One audit, two units.

  3. Monthly

    Each round opens itself. The quality team reads the Monday summary.

  4. August

    The resident rotates. The data, the team and the next round stay put.

  5. October

    The showcase goes out with a quiz. The poster's QR code sends people to it.

  6. Next January

    The board asks if it worked. The chart is already in their pack.

Send us your audit register. We'll show it to you on Prep Medics.

yes, even the messy spreadsheet