Clinical governance Flashcards
1
Q
Clinical Governance
A
- Clinical governance is 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 which excellence in clinical care will flourish.
2
Q
Why clinical governance?
A
- To tackle difference in quality of health care across uk
- Response to recent and major failures in NHS standards
- Clinical governance aims to shift performance of all health organisations closer to standards of best.
- Aims to reduce unjustifiable variations in quality of care provided.
- Maintain public confidence in quality of care and accountability of NHS.
3
Q
Clinical Governance
A
- Bristol Heart scandal - Kennedy report
- Winterbourne Down 2011
- Mid Staffordshire hospital scandal - Francis 2013
4
Q
How is clinical implemented?
A
- It requires development of culture where healthcare professionals are motivated to routinely think. Am I doing it right ? How can I do it better
5
Q
Clinical Governance framework?
A
- Organistaion and clinical leadership
- Performance review including quality issues
- Clinical audit
- Clinical risk management
- Research of information about effectiveness of clinical
- Managing and learning from complaint
- Seeking and responding to patient and user view
- use of clinical information about patient experience
6
Q
2 things important?
A
- Appropriate management
- feedback mechanism to ensure all systems are in place and functioning efficiently
7
Q
7 pillars of Clinical governance
A
- Clinical effectiveness and research
- Clinical audit
- Risk management
- Education and training
- Patient involvement
- Using information and IT
- Staffing and staff management
8
Q
Clinical Audit
A
- Aim to improve quality of care
- Clinical audit can look at Nationwide and local clinical audit.
9
Q
2 stages Risk management
A
- Risk assessment- identify risk
- Risk management- Remiving risk
10
Q
Areas of Risk
A
- Administrative lapses - failure to follow up referral
- System failure - breach of confidentiality
- Clinical risk - Failure to monitor periodontal disease, poor quality radiographs
- Failure to keep upto date records
11
Q
Why CPD?
A
- Personal development
- Legal requirement
- important part of clinical governance
12
Q
How many CPD HOURS for OT?
A
75 verifiable hours
Unlimited non verifiable hours
13
Q
How can you put patient interest first? 5 examples during work
A
- Time
- Skills
- Knowledge
- own personal behaviours
- personal development
- Compliance with legal requirements
- own health
14
Q
Who sets standards of care
A
- National institute of Clinical Excellence (NICE)
- Resus council
- Royal college of Surgeons of England
- British National Formulary (BNF)
15
Q
How to monitor Clinical Gorvernace?
A
- Care quality commision
- General Dental Council
- QA audit at work
