Pregnancy Testing Before Relevant Procedures Audit

Free projects are complete and ready to use. Paid projects can also be adapted to your local requirements. This project uses a fixed Lazomis clinical configuration of 32 audit criteria across cohort and procedure context, eligibility for pregnancy checking, sensitive enquiry and information, pregnancy test decision, test completion and result documentation, action when pregnancy is positive, possible, declined or uncertain, and checklist, handover and governance documentation. Data collection, dashboards, findings, improvement planning, re-audit and every output are included at no cost. This tool reviews documentation and process reliability; it is not a pregnancy diagnosis tool, not a consent policy, not an anaesthetic risk calculator and not a radiology justification tool.

• Pre-operative assessment teams, theatre and day surgery staff
• Anaesthetists, surgeons, radiographers, radiologists and endoscopy teams
• Patient safety, clinical governance and QI leads
• Trainees needing ARCP-ready evidence

• Measure whether pregnancy checking applicability and childbearing potential are documented
• Review whether sensitive enquiry, privacy, information and consent for testing are documented
• Review whether testing was performed and the result was available and documented before the procedure
• Review action taken where pregnancy is positive, possible, declined or uncertain
• Generate governance-ready and ARCP-ready evidence

• Anonymised case number, review date, audit cycle, care setting and procedure category
• Age band and age category, childbearing potential, documented exclusions and urgency
• Anaesthetic, ionising radiation, contrast or medication relevance and local policy requirement
• Test indication, test status, result category, result availability, checklist completion and outcome
• 32 fixed audit criteria (Yes / No / Not applicable, with Unable to determine where relevant)
• Free-text learning points

• 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.
• This tool supports clinical audit and quality improvement. It does not replace clinical judgement, local policy, specialist advice or urgent clinical decision-making.
• Urgent or emergency procedures should not be delayed inappropriately. Clinical urgency, local escalation policy, consent, safeguarding, confidentiality and senior decision-making should guide care.
• Local pre-operative assessment, anaesthesia, radiology, IR(ME)R, endoscopy, adolescent health, safeguarding, consent, confidentiality and urgent procedure policies should be followed where applicable.
• Use anonymous case identifiers only — never patient-identifiable information.

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

• Quality ImprovementHow Many PDSA Cycles Does a Quality Improvement Project Need?This guide explains the iterative nature of PDSA cycles and offers practical advice for determining the appropriate number of cycles needed for effective quality improvement in NHS settings.
• Quality ImprovementPlanning Effective PDSA Cycles for Quality ImprovementThis guide provides a practical, step-by-step approach to planning effective Plan-Do-Study-Act (PDSA) cycles for quality improvement initiatives within the NHS, focusing on robust design and learning. It covers essential considerations from defining your aim to anticipating challenges, helping teams systematically test changes.
• Clinical GovernanceIntegrating Quality Improvement into Clinical Governance FrameworksThis article explores the vital relationship between Quality Improvement (QI) and Clinical Governance within the NHS, demonstrating how they are two sides of the same coin when aiming for continuous, systematic improvement in patient care.
• 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.