Clinical Governance

Question 1

Clinical governance

Answer 1

A system through which nhs organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care can flourish

Question 2

Clinical governance main objectives

Answer 2

• recognising high standards of care
• transparent accountability and responsibility for those standards
• constant dynamic for improvement
• systematic approach to maintaining and improving quality of care

Question 3

Need for clinical governance

Answer 3

• it requires an organisation- wide transformation, clinical leadership and positive organisational cultures are important
• local professional self regulation will be the key to dealing with complex problems of poor performance among clinicians
• new approaches are needed to enable toe recognition and replications of good clinical practice to ensure that lessons are reliably learned from failures in standards of care

Question 4

Clinical governance framework: 7 pillars

Answer 4

• education and training
• clinical audit
• research and development
• risk management
• patient and public involvement
• using information and IT
• staffing

Question 5

Education and training

Answer 5

Available support to enable staff to be competent in their roles. Develop skills.
E.G. audit days, CPD, conferences

Question 6

Clinical audit

Answer 6

Continual evaluation and measurement by health professionals of their work and standards they are achieving against set standards.
E.G. accuracy of radiographer reporting. Reporting times. Radiation doses. Image quality.

Question 7

Research and development

Answer 7

The degree to which the organisation is developing and ensuring best practice
E.G. undertaking research to develop body of evidence. Updating practices and policies to include new evidence. Incorporating NICE guidelines.

Question 8

Risk Management

Answer 8

Creating a system to understand, monitor and minimise risks to patients and learn from mistakes.
E.G learning from mistakes, near misses.
Risk reporting. Adverse incident forms. Responding to complaints.

Question 9

Patient and public involvement

Answer 9

Working in partnership with patients and public. Listening to service users. Involving people in running the service. Informed patient not just the informed practitioner.
E.G. service users feedback. Research participation. Patient supper groups.

Question 10

Using information and IT

Answer 10

Systems in place to collect and interpret clinical information and use it to monitor, plan and improve quality of care
E.G. patient data is accurate and up to date.
Confidentiality of patient data is respected and protected in line with current legislation.

Question 11

Staffing

Answer 11

The recruitment, management and development of staff as well as the promotion of good working conditions
E.G. appraisal. performance assessment. Good working conditions

Question 12

The care quality commission

Answer 12

Independent regulator of health and social care in England. Monitor, inspecy and regulate services to make sure they meet fundamental standards of quality and safety. Make sure care services are:
SAFE
CARING
RESPONSIVE
EFFECTIVE
WELL-LED

Question 13

5 domains of quality standards for imaging

Answer 13

• Leadership and management
• clinical facilities
• resources. Facilities and workforce
• patient experience
• safety