Clinical Governance Flashcards
What is clinical governance?
The term used to describe a systematic approach to maintaining and improving the quality of patient care within a health system
What are the 6 keys of quality in healthcare?
Person entered
Safe
Effective
Efficient
Equitable
Timely
What are the 3 main factors which contribute to adverse effects?
Human factors
Structural factors
Clinical factors
What are the 6 components of clinical governance?
Education and training
Clinical audit
Clinical effectiveness
Research and development
Openness
Risk management
What is the number 1 evidence level study type?
Systematic review and RCT
What is level 2 of evidence study type?
Cohort
What is the mandatory CPD?
100 hours within 5 year cycle (at least 10 hours across 2 consecutive years)
what are the required topics and time spent on them for CPD?
10 hours medical emergencies every cycle (recommend 2 hours every year)
5 hours disinfection and decontamination every cycle
5 hours radiography and radiation protection every CPD cycle
What are 4 other recommended CPD topics?
Legal and ethical issues
Complaints handling
Oral cancer- early detection
Safeguarding children and young people/ safeguarding vulnerable adults
What is SDRS?
Scottish dental reference service
- monitors the quality and probity of dental treatment by reviewing a sample of patients each year
What are the 2 categories of referral to SDRS?
Pre treatment - need prior approval is planned treatment exceeds £410 - submit plan with supporting documents
Post treatment - random selection of patients
What is a clinical audit?
Quality improvement process which seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of change
What is the aim of clinical audit?
To review performance to ensure that what should be done is being done and if not, provides a framework to enable improvements to be made
What are the steps of clinical audit?
Select topic
Set agreed standards and decide on data requirements
Observe practice and collect data
Analyse data and determine any deviation from standard
Identify any areas of change required
Make necessary changes
Repeat audit process and determine whether improvements have occurred
What is the purpose of peer review?
Provides an opportunity for groups of dentists to get together and review aspects of practice - share experiences and learning/ implement change.
