· New Zealand edition: online, self-paced courses with certificate

Patient safety and medicines

Quality Improvement and Clinical Audit

Measuring, testing and sustaining better, fairer care, with audit that meets your recertification requirements and makes a difference

  • 3hours (estimated)
  • 10sections
  • 20final questions
  • 80%pass mark
  • PDFcertificate
  • Online and self-paced, on any device
  • Reflective account template
  • Knowledge checks in every section
  • Instant certificate of completion

Written for New ZealandUpdated 5 October 2026

What you will learn

  • Distinguish quality assurance, clinical audit and quality improvement, and describe the dimensions of quality, including equity.
  • Use HQSC data tools, including the Quality and Safety Markers and the Atlas of Healthcare Variation, to identify improvement opportunities.
  • Explain how recertification programmes under section 41 of the HPCA Act require practitioners to review and improve their practice.
  • Write improvement aims and test changes using the Model for Improvement and Plan-Do-Study-Act cycles.
  • Select outcome, process and balancing measures with clear operational definitions, and interpret run charts and control charts.
  • Design a clinical audit with evidence-based criteria, targets, defined exceptions and a reproducible sample, handling health information lawfully.
  • Turn audit findings into strong, owned and measured actions, and plan re-audit, sustainability and spread.
  • Design improvement work that partners with consumers and whānau, applies Te Tiriti principles and Māori data sovereignty, and closes equity gaps.
  • Apply the NEAC National Ethical Standards to decide the oversight and consent a QI activity needs, and recognise when it becomes research.
  • Respond honestly when audit reveals a shortfall, explain the limits of protected quality assurance activities, and use audit as evidence of insight and remediation.

Who this course is for

Registered health practitioners in Aotearoa New Zealand: doctors, nurses, midwives, dentists and oral health practitioners, pharmacists, paramedics, physiotherapists and other allied health professionals, including those completing an audit for recertification or leading improvement projects.

After a concern

Structured learning and a written reflection to show insight after a complaint, an investigation or a responsible authority inquiry.

Routine CPD

Focused learning on a core standard of practice, with a certificate and reflection for your portfolio.

About this course

This course teaches the practical methods of quality improvement and clinical audit as they apply in Aotearoa New Zealand. You will learn to set improvement aims, use the Model for Improvement and Plan-Do-Study-Act cycles, choose outcome, process and balancing measures, read run charts and control charts, and design a clinical audit with evidence-based criteria, sound sampling and lawful handling of health information. It draws on Te Tāhū Hauora Health Quality & Safety Commission data tools such as the Quality and Safety Markers and the Atlas of Healthcare Variation, the National Ethics Advisory Committee's standards on quality improvement, the Code of Rights and the recertification requirements of the responsible authorities.

It is written for registered health practitioners in every setting: doctors, nurses, midwives, dentists and oral health practitioners, pharmacists, paramedics, physiotherapists and other allied health professionals, in hospitals, general practice, aged residential care, community services, pharmacies and private practice. It suits practitioners who must complete an audit for recertification, those leading or joining improvement projects, and those who need to show insight and change after a complaint, an HDC recommendation or a concern from a responsible authority.

New Zealand expects continuous improvement from services and practitioners, and expects it to reduce inequity, not just raise averages. Te Tiriti o Waitangi, the Pae Ora (Healthy Futures) Act 2022, Ngā Paerewa and professional standards on cultural safety all require improvement work that partners with Māori, patients and whānau. Each section uses New Zealand case examples across the professions and ends with a knowledge check.

Course details

Learning time
Approximately 3 hours (estimated learning time including knowledge checks, reflection and assessment)
Standards covered
Health Practitioners Competence Assurance Act 2003 (s 41, s 44, ss 52–63); Code of Health and Disability Services Consumers' Rights (Rights 4, 6, 7 and 10); Ngā Paerewa Health and Disability Services Standard NZS 8134:2021; National Ethics Advisory Committee National Ethical Standards (2019), section 18 Quality improvement; Health Information Privacy Code 2020; HQSC Quality and Safety Markers, Atlas of Healthcare Variation and consumer engagement resources; RNZCGP Foundation Standard and Cornerstone; recertification requirements of the Medical, Nursing, Midwifery, Dental, Pharmacy and Paramedic Councils
Format
Self-paced, gated lessons with knowledge checks, case studies and reflection
Assessment
20 scenario-based questions, 80% to pass (16 of 20)
Outcome
Certificate of completion and a written reflection for your CPD record
Alignment
Mapped to the competence, cultural safety and recertification expectations of New Zealand's responsible authorities under the HPCA Act and to the national quality framework; suitable for a professional development plan or recertification activity where relevant

Course curriculum

10 sections · 24 lessons · 3 hours (estimated) · 20-question final assessment

  1. 1Quality in Aotearoa New Zealand: concepts, framework and obligations3 lessons
    • Quality, assurance, improvement and audit: telling them apart
    • The New Zealand quality landscape
    • Quality improvement as a professional obligation
  2. 2The Model for Improvement and testing change3 lessons
    • Three questions that structure every improvement
    • Understanding the system and generating change ideas
    • Plan-Do-Study-Act cycles done properly
  3. 3Measurement for improvement3 lessons
    • Outcome, process and balancing measures
    • Run charts: seeing change over time
    • Variation, control charts and fair comparison
  4. 4Designing a clinical audit3 lessons
    • The audit cycle and when to use it
    • Standards, criteria and targets
    • Sampling, data collection and privacy
  5. 5From findings to sustained improvement3 lessons
    • Interpreting and presenting results honestly
    • Choosing actions that change practice
    • Re-audit, sustainability and spread
  6. 6Consumers, whānau, equity and ethics in improvement3 lessons
    • Partnering with consumers and whānau
    • Equity-focused improvement and Te Tiriti o Waitangi
    • Ethics of quality improvement
  7. 7Quality improvement in your own practice and professional accountability3 lessons
    • Auditing your own practice across the professions
    • When audit reveals a shortfall in your own practice
    • Using improvement to show insight and lead change
  8. 8Conclusion and key points1 lesson
    • Conclusion and key points
  9. 9References and further reading1 lesson
    • References and further reading
  10. 10Your reflective account1 lesson
    • Your reflective account

Assessment and certificate

Final assessment

20scenario-based questions

  • Pass mark 80%: 16 correct out of 20
  • Knowledge checks in each section as you go
  • Tests whether you can apply the standards, not recall a page
  • Not passed yet? Review the sections and retake it

Certificate of completion

A certificate of completion for your learning portfolio.

  • Your name, the course title and the estimated learning time (record the time you actually spend)
  • Completion date and a unique certificate ID that can be verified
  • Ready to download as a PDF as soon as you complete the course

Your reflective account

The course includes a structured reflective account template: guided prompts to record what you learned, how you will apply it and how the change will show in your practice. It gives you written evidence of insight after a concern, and a ready record for your CPD portfolio.

Write it in your own words and leave out anything that could identify a patient, a colleague or a case. If you have an open complaint or case, talk to your adviser before reflecting on it in writing.

Questions about this course

Will the course help me complete the audit my recertification programme requires?

It teaches you to design one: evidence-based criteria, targets, defined exceptions, a reproducible sample and lawful handling of health information. Doctors in general scope, for example, need one medical audit a year through Inpractice. Whether a particular audit meets requirements is decided by your programme, not by us.

What is the difference between clinical audit and quality improvement?

Clinical audit measures practice against agreed criteria; quality improvement tests changes, often in small Plan-Do-Study-Act cycles, to find what makes care better. The course also separates both from quality assurance and shows how audit findings feed improvement work, and when to use each.

Does the course cover run charts and control charts?

Yes. You learn to choose outcome, process and balancing measures with clear operational definitions and to interpret run charts and control charts, so you can tell real improvement from normal variation before you claim success or abandon a change. HQSC data tools are used as worked examples.

When does a quality improvement project need ethics oversight?

The course applies the National Ethics Advisory Committee's standards to decide what oversight and consent a QI activity needs, and when it becomes research. It also covers working alongside consumers and whānau, applying Te Tiriti principles, and respecting Māori data sovereignty in improvement projects.

What does the clinical audit course cost and include?

NZ$139 for roughly 3 hours (estimated) online. Quick checks build towards a 20-question final marked at 80%, and passing brings a certificate and an improvement-focused reflection. Because no authority or college has approved it, it cannot itself count as a required audit.

How this course was built

Official sources only

Every legal and regulatory point comes from primary sources: the HPCA Act 2003, the responsible authorities' standards and the Code of Health and Disability Services Consumers' Rights. Anything we cannot confirm is left out.

Original, edition by edition

Lessons, scenarios and assessment questions are written by us for each edition separately, then checked for accuracy, teaching quality and fair assessment before publication.

Reviewed when rules change

When a code, standard or law changes, the affected courses are reviewed and updated. Reported errors in legal or regulatory facts are corrected first.

Page updated 5 October 2026

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