{"id":10678,"date":"2024-12-11T14:26:08","date_gmt":"2024-12-11T13:26:08","guid":{"rendered":"https:\/\/extali.eu\/docs\/3-krankenhausleitung\/3-7-qm-koordination\/3-7-08-ueberwachung-von-korrekturmassnahmen-2\/"},"modified":"2025-08-07T11:44:07","modified_gmt":"2025-08-07T09:44:07","slug":"3-7-09-audit-programme","status":"publish","type":"docs","link":"https:\/\/gutehospitalpraxis.de\/en\/handbuch\/3-krankenhausleitung\/3-7-qm-koordination\/3-7-09-auditprogramm\/","title":{"rendered":"3.7.09 Audit programme"},"content":{"rendered":"
The programme manager defines and updates an audit programme. This includes<\/p>\n\n\n\n
The audit programmes are applied to system, process, product and service audits.
Audits can be carried out routinely or on special occasions such as significant changes in management, in the quality management system, in the service, in the service delivery process or in the follow-up of corrective actions.
With internal audits in particular, care must be taken to ensure that they do not lead to responsibility for achieving the quality objectives being shifted from the operating personnel to the quality assurance unit.<\/p>\n\n\n\n
An audit can have the following objectives:
- Determining whether or not the elements of the QM system fulfil the specified requirements
- Determining the effectiveness of the QM system with regard to the fulfilment of the defined quality objectives
- Fulfilment of requirements from regulations
- to show the audited organisation ways of improving the QM system.
- The standard gives the following examples:
- Improvement of a management system and its performance
- External requirements, e.g. certification according to a management system standard
- Verification of contractual requirements
- Confidence in the ability of a supplier
- Evaluation of the effectiveness of the management system
- Assessment of the compatibility and alignment of these objectives with the policy of the management system and the overall corporate objectives<\/p>\n\n\n\n
An audit can be carried out in order to
- obtain an initial assessment of a supplier before concluding a contract
- to prove that the supplier's QM system fulfils and implements the specified requirements on an ongoing basis
- evaluate your own QM system
- demonstrate that its own QM system continuously fulfils and implements the specified requirements.
The DIN EN ISO 19011 standard lists further aspects that should be considered when defining an audit programme:
a) Management priorities;
b) commercial and other business intentions;
c) Characteristics of processes. products and projects as well as changes to these;
d) Management system requirements;
e) legal and contractual requirements and other requirements to which the organisation is subject;
f) Requirement of supplier assessment;
g) Requirements and expectations of interested parties, including customers;
h) Performance level of the organisation to be audited, as reflected in the occurrence of errors or incidents or customer complaints;
i) Risks for the organisation to be audited;
j) Results from previous audits;
k) Maturity level of the management system being audited.<\/p>\n\n\n\n
Text of the procedural instruction 3.7.09 Audit programme<\/a><\/p>\n\n\n\n Appendix 1: Audit terms, audit principles<\/a><\/p>\n\n\n\n Appendix 2: Example of annual planning<\/a><\/p>\n\n\n\n Appendix 3: Audit Matrix<\/a><\/p>\n\n\n\n Appendix 4: Audit manual, table of contents<\/a><\/p>\n\n\n\nAttachments<\/h2>\n\n\n\n