DNACPR / ReSPECT Documentation Audit

This audit assesses how well DNACPR and ReSPECT documentation is completed, communicated and reviewed in line with national and local guidance.

• Acute Medicine, Geriatrics and Palliative Care
• Consultants and senior trainees
• Frailty and SDEC teams
• Governance leads

• Measure completeness of DNACPR / ReSPECT forms
• Audit documentation of shared decision making
• Identify gaps in review
• Support end of life care improvement

• Anonymised case identifier
• Presence and completeness of form
• Documentation of discussion
• Senior decision maker recorded
• Review date documented

• Live dashboard
• Audit report (Word)
• Executive summary (Word)
• Excel workbook
• PowerPoint presentation
• Conference poster
• ARCP evidence summary

• Designed to use anonymised or pseudonymised audit identifiers.
• This tool supports, but does not replace, clinical judgement.
• Local policy, formulary and specialist advice should be followed.
• Organisations remain responsible for local governance arrangements.

Supporting guidance from the Lazomis QI Resource Library. Authoritative clinical standards referenced by this project remain separate.

• Patient SafetyEscalation Failures: Understanding and Preventing Harm in Clinical PracticeEscalation failures are a significant contributor to avoidable harm in healthcare. This guide explores their root causes and outlines practical steps for NHS staff to improve communication, clinical handover, and timely senior review.
• Clinical GovernanceAssurance vs. Improvement in Healthcare: Understanding the Distinction and InterplayThis guide clarifies the distinct roles of assurance and improvement within UK healthcare, highlighting how they both contribute to robust clinical governance and high-quality patient care. Understanding their interplay is crucial for effective leadership and sustainable progress.
• Clinical AuditImplementing Sustainable Change: A Guide to QI Sustainability PlanningThis guide provides practical advice for healthcare professionals on designing and implementing sustainability plans for Quality Improvement projects, ensuring changes last beyond the initial intervention.
• Quality ImprovementPDSA Cycles: A Practical Guide to Testing Change in HealthcareThis guide provides a practical overview of Plan-Do-Study-Act (PDSA) cycles, a fundamental tool for testing changes in healthcare quality improvement. It details how to apply PDSA effectively, common challenges, and integration with broader QI efforts.