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Patient Safety and Quality Improvement Service

Clinical Excellence Division

Audit tools for National Safety and Quality Health Service Standards

The Patient Safety Unit (PSU) have developed audit tools for facilities to use to collect data in support of evidence in meeting the National Safety and Quality Health Service (NSQHS) standards.

The suite of documents include the following:

  1. A ‘how to’ guide on using the tools.
  2. A definitions guide to assist in completing the tools.
  3. Three specific audit tools that collect and collate information:
    • Patient audit tool: collects patient level data (at a ward/unit level), use one audit tool for each patient audited.
    • Ward/Unit audit tool: collects ward/unit level data and collates the patient level responses.
    • Facility audit tool: collects facility level data and collates the ward/unit level responses.
  4. A measurement plan summary for each standard that defines the goals, questions and responses in the audit tools. The plans will provide an understanding of how the questions in the audit tool have a direct association with the actions required in the standard.

Standard 1 - Governance for Safety and Quality in Health Service Organisations

The intent of the Governance for Safety and Quality in Health Service Organisation is to create an integrated governance systems that maintain and improve the reliability and quality of patient care, as well as improve patient outcomes. Standard 1 logo

Audit tools


Standard 2 - Partnering with Consumers

The intent of the Partnering with Consumers Standard is to create a health service that is responsive to patient, carer and consumer input and needs.Standard 2 logo

Audit tools

Standard 3 - Preventing and Controlling Healthcare Associated Infections

The intent of this standard is to prevent patients from acquiring preventable healthcare associated infections and effectively manage infections when they occur by using evidence-based strategies. A number of audit tools are available on the Disease and infection prevention internet site that can be used. Standard 3 logo 

Standard 4 - Medication Safety

The intention of this Standard is to: Ensure competent clinicians safely prescribe, dispense and administer appropriate medicines to informed patients and carers.

Audit tools

Standard 5 - Patient Identification and Procedure Matching

The intention of this Standard is to: Correctly identify all patients whenever care is provided and correctly match patients to their intended treatment.Standard 5 logo

Audit tools

Standard 6 - Clinical HandoverHow to use audit tools (PDF, 400KB) 

The intent of Clinical Handover Standard is to ensure there is timely, relevant and structured clinical handover that supports safe patient care.Standard 6 logo

Audit tools

Standard 7 - Blood and Blood Products

The intent of Blood and Blood Products Standard is to ensure the patients who receive blood and blood products do so appropriately and safely.Standard 7 logo

Audit tools

Standard 8 - Preventing and Managing Pressure Injuries

The intention of this Standard is to: Prevent patients from developing pressure injuries and effectively managing pressure injuries when they do occur.Standard 8 logo

Audit tools

Standard 9 - Recognising and Responding to Clinical Deterioration in Acute Health Care

The intention of this Standard is to: Ensure a patient's deterioration is recognised promptly, and appropriate action is taken.Standard 9 logo

Audit tools

Standard 10 - Preventing Falls and Harm From Falls

The intent of the this standard is to reduce the incidence of patient falls and minimise harm from falls.Standard 10 logo

Audit tools

Other resources


Last updated: 8 August 2013