DNACPR / ReSPECT Documentation Audit

DEMO DATA

Audit whether DNACPR, ReSPECT or local treatment escalation documentation is completed, reviewed, communicated and recorded clearly in line with local policy and professional guidance.

OverviewHow to useProject setupTeamInclusion / exclusionData collectionDashboardSubmissionsFindingsImprovementRe-auditResourcesExport centreSettings
Records reviewed
60
Sample data
Documentation present where required
88.3%
Target ≥ 90%
CPR recommendation documented
88.3%
Where applicable
Family / important-person communication
71.7%
Where required
Aim
To assess whether DNACPR, ReSPECT or local treatment escalation planning documentation is clear, complete, person-centred, clinically justified, reviewed appropriately and communicated in line with local policy and professional guidance.
Standards
Resuscitation Council UK ReSPECT · Resuscitation Council UK DNACPR guidance · GMC EoL care · NICE NG142 · local DNACPR / ReSPECT / treatment escalation planning policy (local target ≥ 90%)
Sample
Target sample 60 consecutive adult inpatients (≥ 16y) with a DNACPR decision, ReSPECT plan or local treatment escalation plan — or where such documentation should reasonably have been considered. Pseudonymised only — no direct patient identifiers. Patient capacity documented in 85% of demo cases.

Tool workflow

    Step 1
    Project setup
    Confirm scope, wards, leads and local DNACPR / ReSPECT / TEP policy references.
    Step 2
    Team
    Add senior sponsor, resuscitation, palliative, frailty, nursing and governance leads.
    Step 3
    Inclusion / exclusion
    Review who is in scope and the 26 audit criteria.
    Step 4
    Collect data
    Structured form for each admission or documentation episode.
    Step 5
    Dashboard
    Documentation completion, CPR/escalation recommendations, capacity, communication and gaps.
    Step 6
    Findings
    Interpret results, good practice and gaps.
    Step 7
    Improvement
    Plan actions, PDSA cycles and re-audit.
    Step 8
    Resources
    RC UK ReSPECT / DNACPR guidance, GMC EoL, NICE NG142 and local policies.
    Step 9
    Export centre
    Editable Word, PowerPoint, Excel, PDF and ARCP outputs.
Add a case
Open the structured data collection form.
Plan improvement
PDSA cycles, actions and re-audit plan.
Generate outputs
Word, PowerPoint, Excel, PDF and ARCP evidence.
Clinical safety note
This tool supports local audit, quality improvement and governance review of DNACPR, ReSPECT and local treatment escalation planning documentation. It does not replace clinical judgement, local DNACPR / ReSPECT / TEP policy, Mental Capacity Act requirements, safeguarding procedures, specialist advice, palliative care advice, critical care advice, resuscitation policy or urgent escalation pathways. Do not enter patient names, NHS numbers, hospital numbers, full dates of birth, addresses or other direct identifiers.