Documentation Audit Toolkit
In 2018, the Northern Professional Nursing Practice Network’s Quality Assurance/Continuing Quality Improvement working group updated ANDSOOHA’s Documentation Audit Toolkit. The revised guidebook and supporting documents are below:
Revised Guidebook for Documentation Auditors – PDF (2018)
Supporting Documentation for the Revised Guidebook (2018)
Appendix A – ‘Audit Worksheet Considerations’ is embedded in the Guidebook above
Appendix B – Pre-Audit Checklist
Appendix C – Documentation Assessment Tool
Appendix D – Individual Documentation Assessment Findings
Appendix E – Documentation Audit Summary and Recommendations