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Non-routine data are collected from other sources, such as request forms. Choose a topic that you are enthusiastic about. 1Adult Intensive Care, Oxford University Hospitals NHS Trust, Oxford, UK, 2Department of Critical Care Medicine and Anaesthesia, Royal Liverpool and Broadgreen University Hospitals NHS Trust, Liverpool, UK. Theres also the option to integrate an action plan as you go, based on the response. You could do this by presenting your recommendations at a departmental meeting or at your hospitals grand round, through educating staff with tutorials, and by displaying posters on the wards outlining the highlighted recommendations. Clinical audits need to be undertaken within a continuous, cyclical framework, such as the Deming Cycle6 (plan, do, study, act). We have recruited over 103,167 participants for our research studies, including adults, children, health professionals, parents / guardians and family members. CVC insertion bundles need to be complemented with a management bundle and active surveillance of infection rates. Covering all aspects of anaesthetic practice, this publication includes guidance on the conduct of audit on 143 topics in clinical anaesthesia, pain management, and the organization of critical care services. Throughout this article, resources from leading healthcare institutions are referenced to facilitate effective clinical audit development (see Table 1). This approach should result in effective changes in care that have been demonstrated beyond doubt to result in improved outcomes for patients. Clinical audits are ubiquitous throughout critical care practice, but without the necessary focus, engagement, preparation, method, evaluation and communication, they may be a waste of resources. Audits Perform some basic statistics. Points of particular relevance to anaesthetists include: better logbook documentation to allow the identification of major cases that the anaesthetist has managed; a recommendation that fewer anaesthetists should be doing more cases, that is, there should be less of a place for the occasional major vascular anaesthetist; more robust systems for the care of and documentation of epidural catheters in the postoperative period are required; the numbers of patients routinely undergoing mechanical ventilation after vascular surgery could be reduced.