3: IT, clin gov and research Flashcards
Seven pillars of clinical governance
- Clinical effectiveness and research
- Risk management
- Information management
- Education
- Clinical audit
- Patient and public involvement
- Staffing and staff management
What is clinical effectiveness and research?
The refinement of practice in view of new evidence (making sure the right person is doing the right thing in the right way)
What is risk management?
Learning from mistakes
What is information management?
Ensuring patient data are accurate and up to date, ensuring confidentiality
What is Education?
Professional development
What is clinical audit
Cyclical - ensuring clinical practice is up to standard
What is Patient and public involvement
questionnaires and PALS
What is staffing and staff management
Ensuring that there is good recruitment, and working conditions and that performance is optimal
Levels of evidence
1a. systematic review of RCTs
1b. RCT
2a. Systematic review of cohort studies
2b. Individual cohort studies or low quality RCTs
3a. Systematic review of case-controlled studies
3b. Case-controlled studies
- Case series
- Expert opinion
What is nominal group technique?
Consensus from a group of experts
What is a Delphi survey?
Questionnaire of opinions from a large geographical area
Caldicott Principles?
- Justification of purpose
- Only patient identifiable data if necessary
- Minimal PID to be used
- Access to PID - need to know basis
- Everyone should be aware of their responsibilities
- Everyone must comply with the law
- Duty to share can be as valuable as the need to protect the patient
What is the percentage increase in survival per day around the period of viability?
2-3%
What is the PPV of FFN?
77%
What is the NPV of FFN?
97%
