Clinical Governance Flashcards

Question

Management strategies for health and safety issues

Answer 1

- Risk Management - Equipment testing - Safe practice testing - Documentation

Answer 2

- NMR - Prescriber intervention recording - dispensing error and incident reporting-sent to NRLS - significant event/serious incident analysis - timely response to patient safety communications from national patient safety alerting system

Answer 3

written safety report at premises level available for inspection.., covering analysis of incidents and incident patters (taken from an ongoing log), evidence of sharing learning locally and nationally, and actions taken in response to national patient safety alerts.

Answer 4

SOPs are very details documents describing the routine method to be followed for a specific operation, service, analysis or action. -Essentially describe what we do and how we do it

Answer 5

- Safety - Quality - Delivery - Training - Cost Control - Reproducibility

Answer 6

- legally correct - following best practice - following current clinical and operational guidelines - up to date - Use reputable pharmacy sop templates and guidelines

Answer 7

- Aimed at making clinical practice more evidence-based and providing the best service - Clinical effectiveness is about doing: * the right thing * in the right way * at the right time * in the right place * with the right outcome

Answer 8

"A clinical effectiveness programme, which includes arrangements for ensuring that appropriate advice is given by a pharmacist in respect of repeatable prescriptions or to people caring for themselves or their families." 1) systems to ensure appropriate self care advice (RTS training) 2) Improve clinical effectiveness of prescribing - Medicine Use Reviews - New Medicines Service - Patient Counselling 3) Prescribing Interventions - awareness of current evidence and guidelines (NICE) - monitor patient care eg. warfarin, lithium

Answer 9

'Pharmacists undertaking structured adherence-centered reviews with patients on multiple medicines, particularly those receiving medicines for long term conditions.' - 70% of MURs must be on patients in target groups 1) Patients taking high risk medicines : NSAIDS, anticoagulants, anti platelets and diuretics 2) Patients recently discharged from hospital who had changes made to their medicines 3) patients with respiratory disease 4) Patients on 4 or more medicines with or at risk of cardiovascular disease

Answer 10

1) clinically check RX 2) discover potential problem and gather all relevant info 3) contact prescriber if necessary

Answer 11

``` -New medicine is dispensed and patient counselled on the medicine thorough a 3 step process. NMS Conditions/therapies: -Asthma -COPD -Diabetes -Anti platelet -Hypertension ``` -Pharmacist follows up patient at agreed time (s) to assess adherence, identify problems and patients need for further information and support

Answer 12

1) one off event to improve patient care by raising standards of prescribing 2) continuous process to improve patient care by raising standards of prescribing 3) Providing a quality clinical service of advice, information and recommendations to prescribers, patients and customers about all medication and health related issues

Answer 13

1) Sufficient staff with appropriate qualifications for the level of work 2) Appropriate indication for new staff/locums 3) Appropriate staff training 4) Qualifications, identity and references checked 5) Remedying underperformance 6) Identify and support development

Answer 14

- staff management structure - support mechanisms - whistle blowing policy - unfit to practice through health, conduct or competence

Answer 15

continuing professional developed; mandatory CPD inspected by GPhd for pharmacists and registered technicians

Answer 16

data protection and confidentiality - procedures for info management and security info governance - annual assessment of compliance via IG toolkit

Answer 17

1) cleanliness of premises - levels of cleanliness needs to be appropriate to services provided-cleaning rotes 2) Appropriate environment - Safe, tidy working environment with enough space - professional healthcare environment - demarcation of prescription reception area - Buffer area between medical and non medical goods - seating area quality - appropriate levels of privacy/consultation room standards 3) Opening arrangements - pharmacy must be seen to be open by members of the public during core and supplementary hours - if the pharmacy is locked during opening hours, arrangements must be made to: - provide limited public access eg. member of staff at the door/hatch - allow access inside if needed for confidentiality etc.