1. Planning: Define the scope and objectives of the audit. Select the standards or criteria against which performance will be measured. 2. Data Collection: Gather relevant data through chart reviews, patient surveys, interviews, or direct observations. 3. Analysis: Compare the collected data against the pre-established standards to identify areas of strength and areas needing improvement. 4. Action Plan: Develop and implement strategies to address identified issues. This may involve updating protocols, training staff, or reallocating resources. 5. Re-evaluation: Conduct follow-up audits to assess the effectiveness of the implemented changes and ensure sustained improvement.