Clinical governance Flashcards
What is clinical governance?
A framework which organizations are accountable for continually improving the quality of their services and safeguarding high standards of clinical care by creating an environment in which excellence in clinical care will flourish
What factors are involved in clinical governance?
Risk management
Practice/team management
Information
Training & CPD
Clinical audit and effectiveness
What is quality improvement?
The combined and unceasing efforts of everyone to make the changes that will lead to better patient outcomes, better system performance and better professional development
What is a process audit?
Looks at whether protocols/ guidelines are being followed
What are some examples of things an outcome audit measures?
Post op outcomes
IV cath/bandaging complications
Client waiting times
What do audits lead to?
Benchmarking
Involves people/team in deciding what needs to change
What are the steps of an audit?
Topic - select criteria - set target - collect data - analyse data - implement change - reaudit - review and reflect
What can cause human errors?
Competence
Personal factors
Cognitive limitations
External influences
What can cause system errors?
Communication
Culture
Equipment
Protocol/ procedures
Information systems
What is the Swiss cheese model?
A model of accident causation that illustrates that, although many layers of defence lie between hazards and accidents, there are flaws in each layer that, if aligned, can allow the accident to occur
What is second victim syndrome?
The suffering the health care provider experiences as a result of the psychological trauma the event causes
What are the steps of the second victim syndrome?
Accident response - intrusive reflection - restore personal integrity - questioning - obtaining support - moving on
