Clinical Governance Flashcards
What are the 7 pillars of clinical governance?
- Patient and public involvement
- Staffing
- Clinical audit
- Clinical risk management
- Clinical effectiveness
Education and CPD - Use of information
What is Audit?
- Quality improvement process
- Seeks to improve patient care and outcomes
- Uses systematic review of care against explicit criteria
- Implements change
Why Audit? 5 reasons
1) Improves quality of care
2) Maximise resources
3) Educational tool
4) Encourages teamwork
5) Provides evidence to justify change
What’re the 5 stages in the Audit Cycle?
1) Identify problem/issue
2) Agree criteria and set standards
3) Data collection
4) Data analysis - compare performance against standards
5) Implement change
Audit standards are usually expressed as…
A percentage - e.g 100% of the time smoking status should be recorded for all patients (except babies and young)
The sample size used for data collection involved in Audit is determined by what two factors?
1) Degree of confidence wanted in findings
2) Resource constraints (time, access to data, costs etc…)
Name 4 different types of sampling methods
Random sample
Stratified sample
Interval sample
Purposive sample
What are the two types of data collection?
Prospective or retrospective
An AUDIT can be carried out to see if CQUIN targets are being met. What are CQUIN targets?
- Local quality standards
- Provide evidence being met
- Money given if met
List 5 data collection methods used in Audit
- Review of routinely collected data (data collection forms)
- Review of patient info using data abstraction tool (patient notes)
- Questionnaires
- Interviews
- Observation
When conducting an audit what should be carried out prior to the ‘real’ audit to identify any issues with data collection and methodology?
Pilot study
What does most audit data analysis involve?
- Calculating percentages - See if practice meets standards
When drawing up an action plan to implement change after identifying problems, what should be considered?
- Who should change
- When should this happen
- What should happen
- How should this happen
What should be carried out after the implementation of change?
Re-Audit
