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Series 2: Episode 3: Case examples

The Quality Improvement (QI) Boxset will allow you to learn about Quality Improvement with small bite-sized episodes of content. Just like streaming services, you can scroll and pick and choose what you want to watch or listen to. 

This section is unlike the other episodes in our QI Boxset. This is a library of all RCVS Knowledge’s clinical audit case examples. By searching for a topic, you will be able to find examples of other teams’ clinical audits that are most relatable to your area of work. Please choose the examples you’d like to read, watch, or listen to, and be inspired.


Post-operative hypothermia audit

Post-operative hypothermia audit

CPD: 10 minutes

Samantha Thompson, RVN and Post-Registration Programme Manager for the Linnaeus Group, discusses her post-operative hypothermia audit and how the team used the results to make changes within practice.

Keywords for Post-operative hypothermia audit:
hypothermia temperature post-op podcast nurse vet nurse small animal companion animal dog cat dogs cats

Auditing your infection control in practice

Auditing your infection control in practice

CPD: 60 minutes

Once you have your infection control guidelines in place, how do you know if they are helping to improve your patient, client, and practice team’s safety? 

infection control audit dog cat equine hygiene hand wash washing cleaning sterile webinar companion small animal dogs cats horse horses antibiotic AMR

Auditing aural cytology

Auditing aural cytology

CPD: 10 minutes

Meghan Conroy, RVN, discusses her case example, which looks at the prevalence of ear cytology performed before and after antibiotic treatment across her practices.


aural cytology ear infection antibiotic CVS practice dog cat consult lab microscope podcast nurse vet nurse small animal companion animal dogs cats laboratory medicine medical antibiotics pharmacy AMR RVN swab small animal companion animal

Tuesday Teatime Takeover - Clinical audits

Tuesday Teatime Takeover - Clinical audits

CPD: 60 minutes

Lou the Vet Nurse takes over the RCVS Knowledge Facebook site for a discussion about clinical audit, how to get started in practice, how to keep engaged and getting help along the way (recorded 5th November 2019).

webinar facebook video audit chat louise northway lou vet nurse tuesday teatime takeover knowledge awards

Recording of controlled drugs

Recording of controlled drugs

CPD:12 minutes

This award-winning case example shows how Angela Rayner, CVS PLC, completed audits into the recording of methadone and ketamine which resulted in improvements within the practice group.

knowledge awards champion 2019 pharmacy schedule drugs medicine medication analgesia controlled drugs methadone ketamine CD small animal large animal dog cat equine dogs cats horse horses

Equine dispensing audit

Equine dispensing audit

CPD: 10 minutes

When the dispensing protocol was not being followed, Charlotte Hartley REVN performed a process audit and changed protocols to improve compliance and help avoid dispensing errors.

× equine × large animal × pharmacy × dispensing × medicines × medication × horse

Clinical incident reporting

Clinical incident reporting

CPD: 15 minutes

This case example shows the national audit undertaken on clinical incidents throughout PDSA. By identifying where incidents were reported, the organisation could identify where they needed to focus their efforts on to make changes and create improvements.

× pdsa × knowledge awards × champion × 2020 × incident × reporting × dog × cat × small animal × companion animal × charity

Antibiotic use during dentals

Antibiotic use during dentals

CPD: 10 minutes

This case example shows how Kay Lockwood, from Riversbrook Veterinary Group, performed an audit to measure and monitor antibiotic use during dental extractions.

× dental × dentist × dentistry × teeth × antibiotics × antimicrobials × AMR × medicine × pharmacy × surgery × surgical × dog × cat × small animal × companion animal × knowledge awards × highly commended × 2020

Peripheral catheter care checklist and audit

Peripheral catheter care checklist and audit

CPD: 15 minutes

This case example shows how one practice implemented a peripheral catheter care checklist and monitored its use and effectiveness through clinical audit.

× IV × intravenous × catheter × care × peripheral × cannula × phlebitis × IV care × dog × cat × small animal × companion animal × drip × fluids × fluid therapy

Hand hygiene

Hand hygiene

CPD: 20 minutes

Vets Now Referrals Glasgow was highly commended for its clinical audit which assessed adherence to WHO handwashing guidelines.

hand hygiene hand wash wash sterile clean infection control infection control small animal large animal dog cat equine ECC emergency handwashing WHO handwashing

Use of dental charts during dental examinations

Use of dental charts during dental examinations

CPD: 10 minutes

This case example shows how Gillivervet Equine Practice performed a process audit on the completion of dental charts after dental examinations.

dental equine charts dental charts horse large animal dentist dentistry dental scoring

Hygiene audit

Hygiene audit

CPD: 15 minutes

This case example shows how Vale Vets performed a hygiene audit through self-assessment to maintain a just culture and to identify any at-risk areas and further training required.

hygiene hand wash infection control control infection small animal large animal dog cat hand gel WHO knowledge awards champion 2020

Hygiene and uniform audit

Hygiene and uniform audit

CPD: 15 minutes

This case example shows how the team at The Laurels initiated a clinical audit to monitor hand hygiene and compliance to uniform protocols within the practice.

practice hygiene infection control uniform protocols small animal companion animal infection control sterile clean disinfectant Knowledge award highly commended 2020

Ear cytology

Ear cytology

CPD: 15 minutes

This award-winning case example shows how Plymouth Veterinary Group created guidelines for performing cytology on patients presenting with ear pathology, utilising the whole teams’ skillset to improve the patient journey for a common and often persistent presentation.

dog cat small animal companion animal ear aural cytology laboratory microscope antibiotics consultation medicine pharmacy AMR resistance swab sample nurse training

Equine castration audit

Equine castration audit

CPD: 5 minutes

This case example shows the initial audit of equine practice and its postoperative equine castration complications.

castration surgery standing equine horse neuter gelding gelded large animal

Patient trends and complications

Patient trends and complications

CPD: 15 minutes

This award-winning case example shows how Louise Northway completed an audit to look for trends and complications that could be addressed for improvements to patient care.

knowledge awards 2019 champion dog cat surgical surgery small animal temperature hypothermia anaesthesia analgesia companion animal inpatient care blood pressure multiparameter capnography monitoring complications

General anaesthetic monitoring in an emergency setting

General anaesthetic monitoring in an emergency setting

CPD: 15 minutes

This award-winning case example shows how the Vets Now Macclesfield team conducted quarterly audits to improve general anaesthetic monitoring in an emergency setting. As a result, the practice suffered zero patient deaths or significant events related to anaesthesia or sedation.

knowledge awards champion 2019 anaesthesia monitoring emergency critical care ECC ecg capnography small animal dog cat companion animal out of hours ooh sedation template

Analgesia process audit

Analgesia process audit

CPD: 20 minutes

This case example shows the national process audit undertaken after implementing a national pain protocol at PDSA. By identifying which areas had successfully implemented the change, assistance could be provided to those that required further support.

pdsa charity surgical surgery pre-medication medicine drugs pharmacy analgesia anaesthesia pain relief knowledge awards champion 2020 dog cat small animal companion animal

Cruciate surgery outcome audit

Cruciate surgery outcome audit

CPD: 20 minutes

This case example shows the national audit undertaken on cruciate surgical outcomes at PDSA. By auditing patient outcomes, PDSA could identify whether the current surgical technique offered was suitable, and implement a simple but effective technique to reduce the number of patients lost-to-follow-up.

pdsa dog small animal companion animal orthopaedic cruciate charity surgery surgical outcome Knowledge award champion 2020

Auditing post-operative complications

Auditing post-operative complications

CPD: 10 minutes

This case example shows how Vale Vets performed a post-operative complication audit on neutered cats and dogs to identify where any improvements were required.

dog cat small animal companion animal surgical surgery post-operative complication outcomes outcome knowledge awards champion 2020