Audit of Medical Documentation and Pharmacotherapy in Your Hospital
Prepare your facility for audit, inspection, and accreditation
Rely on experience and practice – collaborate with dr hab. n. med. Jarosław Woroń and MedicalAdvisor.pl
In response to the increasing requirements regarding the quality of healthcare services, patient safety, and the necessity to meet accreditation and inspection standards, MedicalAdvisor.pl sp. z o.o. offers professional audits of medical documentation and pharmacotherapy conducted directly within the hospital (on-site).
Our activities are carried out in cooperation with a distinguished expert: dr hab. n. med. Jarosław Woroń, a specialist in clinical pharmacology, as well as:
– Head of the Department of Clinical Pharmacology at the Chair of Pharmacology, Faculty of Medicine, Jagiellonian University Medical College in Kraków,
– Head of the University Centre for Monitoring and Investigation of Adverse Drug Reactions in Kraków,
– Senior Assistant at the Clinical Department of Anaesthesiology and Intensive Care, University Hospital in Kraków,
– Member of the Main Board of the Polish Society for the Study of Pain,
– Member of the Society for the Promotion of Quality in Healthcare in Poland,
– Member of the Board of the Polish Society of Clinical Pharmacology and Therapy,
– Member of the Scientific Council of the Polish Society for Safe Pharmacotherapy and the European Society of Clinical Pharmacology.
What does the audit of medical documentation and pharmacotherapy involve?
The audit offered by us is a comprehensive, practical analysis of actual medical documentation and applied pharmacotherapy, conducted directly within your facility.
Its purpose is:
✔ identification of errors and risks
✔ alignment of documentation with applicable regulations
✔ implementation of accreditation standards
✔ improvement of medication safety
✔ preparation for inspections (NFZ, Patient Ombudsman, Ministry of Health)
The audit has a practical and operational character – it is based on the analysis of real clinical cases.
Scope of the hospital audit
As part of the service, we offer a comprehensive review and assessment of the functioning of the facility in key areas:
✅ Verification of medical documentation
– analysis of approx. 100 patient records (on average approx. 10 records per ward)
– assessment of the correctness of documentation
– compliance with legal regulations and accreditation requirements
– identification of formal deficiencies and systemic errors
💊 Pharmacotherapy audit
– analysis of applied treatment regimens
– detection of drug interactions
– identification of therapeutic errors
– assessment of pharmacological safety of patients
📋 Review of the hospital formulary
– assessment of the justification for the use of medicines
– recommendations for therapy optimization
– alignment with current clinical guidelines
👩⚕️ Training of medical personnel
– doctors, nurses, pharmacists, microbiologists, laboratory diagnosticians
– training based on real clinical problems
– practical guidance for everyday work
📊 Post-audit report
– detailed analysis of results
– specific recommendations and corrective actions
– support in the implementation process
🎓 Certification
– certificates for the therapeutic team
– confirmation of audit completion for the facility
Audit as preparation for accreditation and inspections
Our service provides real support in preparation for:
✔ hospital accreditation (CMJ and new quality standards)
✔ NFZ inspections
✔ proceedings conducted by the Patient Ombudsman
✔ audits of the Ministry of Health
✔ internal quality management systems
By working on actual documentation, the facility receives concrete, measurable outcomes that can be implemented immediately.
Why is it worth conducting an audit?
🔹 Increased patient safety
Minimisation of the risk of medication errors and adverse events
🔹 Reduction of legal risk
Better preparation for inspections and administrative proceedings
🔹 Improvement of medical documentation quality
Compliance with current regulations and standards
🔹 Strengthening the facility’s position
Better results in accreditation and inspection processes
🔹 Real support for the medical team
Practical knowledge and concrete solutions
Audit conducted directly in the hospital
All activities are carried out on-site – within your facility, which allows for:
✔ working on real cases
✔ tailoring recommendations to the specifics of the ward
✔ achieving immediate organisational and clinical outcomes
MedicalAdvisor.pl – a partner in quality and safety
As a medical entity specialising in consulting, audits, and support for healthcare facilities, we offer solutions tailored to the realities of hospital operations in Poland.
Our goal is:
✔ improvement of treatment quality
✔ optimisation of processes
✔ enhancement of patient safety
Contact
For detailed information and to determine the scope of the audit tailored to the specifics of your facility, please contact:
Karolina Dominika Wójciak
Medical Project Manager – Audits and Pharmacotherapy
📞 Tel.: 607 871 284
