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

Appendix F – Annual Audit Assessment Summary Report