[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"skill:01M7191GN85SDKSWZMBM2TKWRN":3,"skill-same:01M7191GN85SDKSWZMBM2TKWRN":65},{"skillNo":4,"name":5,"nameZh":6,"description":7,"descriptionZh":6,"repositoryFullName":8,"ownerLogin":9,"ownerAvatarUrl":10,"ownerAccountNo":11,"ownerDisplayName":12,"repositoryNo":13,"starsCount":14,"licenseSpdxId":15,"licenseFileUrl":6,"sourceHtmlUrl":16,"categories":17,"keywords":18,"publishedAt":34,"linkOnly":35,"markdownContent":36,"markdownBody":37,"frontMatter":38,"refName":42,"commitSha":43,"skillDirectory":44,"forksCount":45,"repositoryHtmlUrl":46,"repositoryHomepageUrl":6,"ownerHtmlUrl":47,"ownerBlogUrl":48,"ownerDescription":49,"updatedAt":50,"install":51,"resources":64},"01M7191GN85SDKSWZMBM2TKWRN","pulmonology-quality-audit",null,"Audit the quality of pulmonologist work in a respiratory ward and lung function laboratory and drive measurable improvement.\nTRIGGERS - Use when a pulmonologist needs a quality audit for patients with lung and breathing conditions in a respiratory ward and lung function laboratory.","lionelsimai\u002Fclaude-skills-collection","lionelsimai","https:\u002F\u002Favatars.githubusercontent.com\u002Fu\u002F260158848?v=4","01M6CHZPS8G9TSB113TT0BBM6E","Lionel ","01M6CHZPXGW2SPE3BHQTGJ0S8J",38,"MIT","https:\u002F\u002Fgithub.com\u002Flionelsimai\u002Fclaude-skills-collection\u002Fblob\u002Fmain\u002Fskills\u002Fpulmonology-quality-audit\u002FSKILL.md",[],[19,20,21,22,23,24,25,26,27,28,29,30,31,32,33],"pulmonology","audit","quality","quality audit","pulmonology quality audit","improvement","for","triggers","use","when","ward","with","work","drive","respiratory","2026-11-10 10:12:30",false,"---\nname: pulmonology-quality-audit\ndescription: |\n  Audit the quality of pulmonologist work in a respiratory ward and lung function laboratory and drive measurable improvement.\n  TRIGGERS - Use when a pulmonologist needs a quality audit for patients with lung and breathing conditions in a respiratory ward and lung function laboratory.\ncategory: Pulmonology\nlicense: MIT\nversion: 1.0\n---\n# Quality Audit — Pulmonology\n\nAudit the quality of pulmonologist work in a respiratory ward and lung function laboratory and drive measurable improvement. The deliverable is an audit report with scores, evidence and an improvement plan.\nThis skill is written for a pulmonologist working with patients with lung and breathing conditions in a respiratory ward and lung function laboratory.\n\n## When to use\n- You are a pulmonologist preparing, delivering or reviewing this part of your work in a respiratory ward and lung function laboratory.\n- You need a defensible, repeatable approach that produces an audit report with scores, evidence and an improvement plan.\n- A colleague, auditor or client asks how this was done and what evidence supports it.\n\n## Key Concepts\n| Term | Meaning |\n|------|---------|\n| Spirometry | a breathing test measuring how much and how fast air moves |\n| Exacerbation | a sudden worsening of a chronic condition |\n| Hypoxia | abnormally low oxygen levels in the body |\n\n## Workflow\n1. **Step 1** - Define the audit sample and criteria up front, anchored to spirometry quality rate and the standards for a respiratory ward and lung function laboratory\n2. **Step 2** - Review a sample of spirometry reports and observe practice where permitted, scoring consistently\n3. **Step 3** - Separate isolated errors from patterns — patterns point to system fixes, not individual blame\n4. **Step 4** - Report findings with evidence, and agree improvement actions that address the root causes, including missed lung cancer signs\n5. **Step 5** - Re-audit after the agreed interval and publish the change in scores so improvement is visible\n\n## Profession-Specific Components\n| Component | Details for Pulmonology |\n|-----------|-------------------------------|\n| Core documentation | spirometry reports; sleep study results; bronchoscopy reports; oxygen assessments |\n| Core tools & equipment | spirometers; bronchoscopes; non-invasive ventilators; sleep study equipment |\n| People involved | patients with lung and breathing conditions; the pulmonologist; colleagues and other services in a respiratory ward and lung function laboratory |\n| Primary record | spirometry reports — keep it current, dated and attributable |\n\n## Output Format\n**Context:** [Situation in a respiratory ward and lung function laboratory] | **Objective:** [What this must achieve] | **Audience:** [patients with lung and breathing conditions and other stakeholders]\n\nThe finished output is an audit report with scores, evidence and an improvement plan, structured as:\n1. Summary of position and evidence\n2. Detail, following the workflow above\n3. Decisions, actions, owners and dates\n4. Review point and escalation route\n\n### Action Plan\n1. **Immediate:** Confirm scope, consent and the evidence available in spirometry reports.\n2. **Short-term:** Complete the workflow steps and record outcomes against spirometry quality rate.\n3. **Medium-term:** Review results, close actions, and update local procedures in a respiratory ward and lung function laboratory.\n\n## Success Metrics\n| Metric | Target | Method |\n|--------|--------|--------|\n| spirometry quality rate | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n| COPD exacerbation readmissions | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n| oxygen assessment timeliness | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n| clinic outcomes | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n\n## Guardrails & Quality Checks\n- Never let this happen: missed lung cancer signs.\n- Never let this happen: ventilator-associated harm.\n- Never let this happen: untreated sleep apnoea.\n- Work only within the competence and authority of a pulmonologist; escalate or refer anything beyond it.\n- Record facts and observations, not speculation, and keep records confidential to a respiratory ward and lung function laboratory's rules.\n- Verify names, dates, figures and measurements twice before anything is issued or signed off.\n- Use only real, verified information from the case in hand — never invent results, credentials or evidence.\n\n## Example (illustrative)\nA pulmonologist in a respiratory ward and lung function laboratory applies this workflow for patients with lung and breathing conditions: they open\nspirometry reports, work through the five steps using spirometers, and close by recording\nthe outcome against spirometry quality rate and agreeing the next review date. (Illustrative example only —\nreplace with the real details of the case in hand.)\n","# Quality Audit — Pulmonology\n\nAudit the quality of pulmonologist work in a respiratory ward and lung function laboratory and drive measurable improvement. The deliverable is an audit report with scores, evidence and an improvement plan.\nThis skill is written for a pulmonologist working with patients with lung and breathing conditions in a respiratory ward and lung function laboratory.\n\n## When to use\n- You are a pulmonologist preparing, delivering or reviewing this part of your work in a respiratory ward and lung function laboratory.\n- You need a defensible, repeatable approach that produces an audit report with scores, evidence and an improvement plan.\n- A colleague, auditor or client asks how this was done and what evidence supports it.\n\n## Key Concepts\n| Term | Meaning |\n|------|---------|\n| Spirometry | a breathing test measuring how much and how fast air moves |\n| Exacerbation | a sudden worsening of a chronic condition |\n| Hypoxia | abnormally low oxygen levels in the body |\n\n## Workflow\n1. **Step 1** - Define the audit sample and criteria up front, anchored to spirometry quality rate and the standards for a respiratory ward and lung function laboratory\n2. **Step 2** - Review a sample of spirometry reports and observe practice where permitted, scoring consistently\n3. **Step 3** - Separate isolated errors from patterns — patterns point to system fixes, not individual blame\n4. **Step 4** - Report findings with evidence, and agree improvement actions that address the root causes, including missed lung cancer signs\n5. **Step 5** - Re-audit after the agreed interval and publish the change in scores so improvement is visible\n\n## Profession-Specific Components\n| Component | Details for Pulmonology |\n|-----------|-------------------------------|\n| Core documentation | spirometry reports; sleep study results; bronchoscopy reports; oxygen assessments |\n| Core tools & equipment | spirometers; bronchoscopes; non-invasive ventilators; sleep study equipment |\n| People involved | patients with lung and breathing conditions; the pulmonologist; colleagues and other services in a respiratory ward and lung function laboratory |\n| Primary record | spirometry reports — keep it current, dated and attributable |\n\n## Output Format\n**Context:** [Situation in a respiratory ward and lung function laboratory] | **Objective:** [What this must achieve] | **Audience:** [patients with lung and breathing conditions and other stakeholders]\n\nThe finished output is an audit report with scores, evidence and an improvement plan, structured as:\n1. Summary of position and evidence\n2. Detail, following the workflow above\n3. Decisions, actions, owners and dates\n4. Review point and escalation route\n\n### Action Plan\n1. **Immediate:** Confirm scope, consent and the evidence available in spirometry reports.\n2. **Short-term:** Complete the workflow steps and record outcomes against spirometry quality rate.\n3. **Medium-term:** Review results, close actions, and update local procedures in a respiratory ward and lung function laboratory.\n\n## Success Metrics\n| Metric | Target | Method |\n|--------|--------|--------|\n| spirometry quality rate | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n| COPD exacerbation readmissions | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n| oxygen assessment timeliness | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n| clinic outcomes | Agree a local target and track the trend | Measured from spirometry reports and reviewed on a set cycle |\n\n## Guardrails & Quality Checks\n- Never let this happen: missed lung cancer signs.\n- Never let this happen: ventilator-associated harm.\n- Never let this happen: untreated sleep apnoea.\n- Work only within the competence and authority of a pulmonologist; escalate or refer anything beyond it.\n- Record facts and observations, not speculation, and keep records confidential to a respiratory ward and lung function laboratory's rules.\n- Verify names, dates, figures and measurements twice before anything is issued or signed off.\n- Use only real, verified information from the case in hand — never invent results, credentials or evidence.\n\n## Example (illustrative)\nA pulmonologist in a respiratory ward and lung function laboratory applies this workflow for patients with lung and breathing conditions: they open\nspirometry reports, work through the five steps using spirometers, and close by recording\nthe outcome against spirometry quality rate and agreeing the next review date. 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