Five movements, always in this order.
A healthcare application audit that starts with a slide deck will end with one. Ours starts with permission to watch ordinary work, and it ends with a document a medical director can use on a Sunday evening.
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Scoping, on paper
We agree the application, the sites, the wards or clinics, and the shifts we may attend. We write a sampling protocol before anyone logs in: which records, how many, what we will compare them with. If we cannot get floor access, we stop and we do not relabel the work as an audit.
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Observation where the work is
We sit with named roles — not with the project team — through registration, consult, orders, administration, and discharge as they actually happen. Night and weekend blocks are part of a ward audit, not an optional extra. We note printers, identity devices, and the unofficial tools people reach for when the screen stalls.
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Sampling against the protocol
Observation without records is a story. We walk a bounded set of admissions, administrations, results, and discharges backwards through the application and, where it still exists, through paper. Disagreements are timed and attributed to a role and a screen.
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Findings workshop
Before the report hardens, we sit with the people who run the floor and the people who hold the vendor relationship. We correct facts. We do not negotiate away a risk because it is inconvenient. The workshop is short on theatre and long on “who can change this on Tuesday”.
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A written report, ordered by harm
The deliverable is prose, tables, and a closure list. Clinical harm sits above billing inconvenience. Shared logins sit above password complexity theatre. We do not ship a dashboard. We ship a document with a date, a scope, and the limits of what we did not see.
What we need from you
- A sponsor who can grant ward or clinic access
- A current roster for the period of observation
- A build of the application that staff actually use
- Time with the people who take vendor calls
What we will not do
- Score “adoption” as if staff were the defect
- Issue a legal opinion or a statutory certificate
- Rewrite your vendor’s marketing as an assurance note
- Pretend a document review is floor observation
If this method fits the work you have
Tell us the application, the site, and whether the question is a live ward, a privacy exit, access hygiene, or a cutover.