Combined Bedside Risk Assessment: CoBRA

 

 

 

 

Congratulations to the Royal Perth Bentley Group CoBRA Project team, whose work has just been published by the international Journal of Nursing Care Quality.

The CoBRA project, led by Dr Heather Kidd, RPBG Nursing Director, Safety, Organisational Learning and Development developed and evaluated the online CoBRA audit tool that is in use across the RPBG.

 

Developing the Next Generation in Electronic Clinical Auditing: CoBRA Tool

 

Background: While auditing is embedded into clinical culture, data collection tends to be retrospective, requires expertise and is time consuming.

Local Problem: Clinical audit data is needed in real time to manage patient safety issues.

Methods: An iterative approach was undertaken to develop the electronic audit tool with a cross sectional survey used for evaluation.

Interventions: The Combined Bedside and Risk Assessment (CoBRA) audit tool captures patient safety risk and compliance such as falls, pressure injuries and infections.

Results: Over 17,956 safety audits were collected on randomly selected inpatients. Monthly audits completion average is 96% (n=614). Patient safety risk mitigation is available in real time.  Stakeholders stated the CoBRA tool was useful in educating patients on risks (n=141; 78.3%), improved patient care (n=120; 67.4%) and prompted staff to modify patient care based on CoBRA findings (n=98; 54%).

Conclusions: The electronic CoBRA process facilitates patient safety risk mitigation and data transparency.