Full Report of the Irish National Audit of Dementia
Audit Tools from INAD 2014
The Irish National Audit of Dementia (INAD) was comprised of four parts, employing tools adapted from the 2010 UK Audit for the Irish population;
Casenote Audit - Each participating hospital is asked to identify the records of 30 patients with a diagnosis or current history of dementia. Of these 30 casenotes, 20 which meet the inclusion criteria of the project are audited against a checklist of standards that relate to admission, comprehensive multi-disciplinary assessment, care planning/delivery, and discharge.
Hospital Organisational Audit - This section of the audit looks at the structures, policies, guidelines, care processes and key staff that impact on service planning and provision for care of people with dementia within each general hospital.
Ward Organisational Audit - The purpose of this tool is to investigate; staffing levels and practices, ward access to services, information availability and provision to dementia patients and carers/relatives, as well as nutrition and communication. The ward organisational audits are carried out on at least one surgical and one medical ward in each participating hospital.
Ward Environmental Checklist - This checklist involves investigation of wards through observation of the environment i.e. layout/size, signage/mapping, floors, bedding, accessibility of toilets and bathing facilities, patients safety, and the promotion of patient independence, all as they relate to dementia care.
Below are PDF files of the tools employed to carry out the first INAD. The tools below have been modified for use in the Irish population with the full permission of the original authors, the Healthcare Quality and Improvement Partnership (HQIP). The tools below must not be reproduced, distributed, modified or used without permission from HQIP.
The audit tools for the INAD-2 will be published here in the coming weeks.
Partner Organisations in INAD 2014
The first INAD was a joint initiative between The Centre for Gerontology and Rehabilitation, University College Cork (Dr. Suzanne Timmons and Dr. Paul Gallagher), The Centre for Ageing, Neuroscience and the Humanities, Trinity Centre for Health Sciences, Tallaght Hospital Dublin (Prof. Des O’Neill and Dr. Sean Kennelly) and the HSE Quality and Patient Safety Directorate (Ms. Denise McArdle).
Audit Management for INAD 2014
Centre for Ageing, Neuroscience and the Humanities, Trinity Centre for Health Sciences, Tallaght Hospital; Professor Des O’Neill, FRCP Consultant Physician in Geriatric & Stroke Medicine & Professor in Medical Gerontology, Tallaght Hospital & Trinity College Dublin/ Dr. Sean Kennelly, Consultant Physician in Geriatric and Internal Medicine, Adelaide and Meath Hospital, Tallaght, Clinical Senior Lecturer in Medical Gerontology, Trinity College Dublin.
Centre for Gerontology and Rehabilitation, University College Cork; Dr. Suzanne Timmons, Senior Lecturer, Centre for Gerontology and Rehabilitation, School of Medicine, UCC/ Dr. Paul Gallagher, Consultant Physician in Geriatric Medicine, Cork University Hospital & St. Finbarr's Hospital, Senior Lecturer, School of Medicine, UCC.
Quality and Patient Safety Directorate (QPS); Edwina Dunne, Director QPS
INAD Audit Team
INAD National Coordinator
Ms. Anna de Siún
Quality and Patient Safety Audit;
Ms. Denise McArdle
Ms. Patricia Gibbons
Ms. Marie Gilligan
INAD Research Assistant
Ms. Emma O’ Shea
INAD Steering Committee
Alzheimer Society of Ireland; Ms. Grainne McGettrick, Research and Policy Manager.
Office of the Nursing and Midwifery Services Directorate (ONMSD); Ms Mary Manning, Interim Director NMPD Midlands.
Faculty of Psychiatry of Old Age, College of Psychiatrists of Ireland; Dr. Geraldine McCarthy, Consultant in Psychiatry of Old Age, Honorary Senior Lecturer and Dean of Medical Education, Sligo Medical Academy, NUI Galway.
Association of Occupational Therapists of Ireland; Ms. Monica Devine, Chairperson, AOTI Advisory Group for Older People.
INAD Advisory Group
Trinity College Dublin (Associate Professor) and the Dementia Services Information and Development Centre (Director): Professor Suzanne Cahill.
Irish Hospice Foundation Hospice Friendly Hospitals Programme ; Dr Kathleen McLoughlin, National Audit and Review Co-ordinator (End of Life).
All Ireland Gerontological Nursing Association; Dr Amanda Phelan, Subject Head: Older Persons' Nursing, UCD School of Nursing, Midwifery & Health Systems, Co-Director UCD National Centre for the Protection of Older People.
Health Information and Quality Authority, John Farrelly, Head of Older Persons Programme.
Department of Health, Services for Older People; Ms. Sinead Quill/ Mr Ronan Toomey.
Irish College of General Practitioners; Prof. Colin Bradley, Chair, Dept. of General Practice, UCC.
Royal College of Physicians/National Clinical Programme for Older People; Dr. Diarmuid O’Shea.
Dementia Services Information and Development Centre; Mr. Matthew Gibb, Senior Social Worker.
Health Service Research; Prof. John Browne, Department of Epidemiology and Public Health, UCC.
National Audit of Dementia care in general hospitals (UK); Ms Chloë Hood, Programme Manager, Royal College of Psychiatrists’ Centre for Quality Improvement.
Royal College of Physicians, London; Dr Kevin Stewart, Clinical Director, Clinical Effectiveness and Evaluation Unit (CEEU); UK National Audit Steering Group.