Quality Assurance/ Quality Improvement / Audit Activities
A Quality Assurance (QA)/ Quality Improvement (QI)/ Audit activity is any project where the primary purpose is to monitor, evaluate or improve the quality of healthcare delivered by a healthcare provider (an individual, a department or service, or an organisation).
The review of medical records and existing datasets do not generally require formal ethical approval from a Human Research Ethics Committee (HREC). However there are a growing number of journals that require evidence of ethical acknowledgement prior to publication. It is therefore recommended that this review process is undertaken by all Latrobe Regional Hospital staff members undertaking a medical record or existing data audit where it is anticipated that the results will be submitted for publication.
Projects reviewed under this process must only collect de-identified information which is stored in accordance with the Confidentiality Policy and information is only to be collected by a Latrobe Regional Hospital staff member.
Retrospective reviews of QA/ QI/ Audit applications will not be undertaken.
Projects that collect information beyond that available in existing medical records or databases and/or involve external personnel or data transfer are to be submitted through the Latrobe Regional Hospital HREC Low and Negligible risk process
Application process: The following documents are to be submitted to the HREC Secretariat for review:
Quality Assurance / Quality Improvement / Audit Application Form including sign off from Head of Department
Data collection forms or tools