Clinical Governance Flashcards
What is clinical governance?
A systematic approach to MAINTAINING + IMPROVING QUALITY of pt care within health system
What are the 6 DIMENSIONS of healthcare quality?
- Person-centered = respect needs + values
- Safe = no avoidable harm
- Effective
- Efficient = maximised benefit for given costs
- Equitable = are all pts treated fairly i.e. is distribution of healthcare based on needs
- Timely
What are the 6 COMPONENTS of clinical governance?
- Education + training
- Clinical audit
- Clinical effectiveness
- Research + development
- Openness
- Risk management
What is the process for DEVELOPING quality healthcare?
- Setting quality standards
- Delivering quality standards
- Monitoring quality standards
set, deliver, monitor
How can implementation of research into clinical practice be promoted?
- Critical appraisal of literature
- Development of clinical guidelines + protocols
- Implementation strategies
What does the evidence pipeline show?
‘Leakage’ between stages of valid research to implementation
What are clinical guidelines?
- Systematically developed statements
- Assist in the decision making about appropriate healthcare for specific clinical conditions
How are quality STANDARDS DELIVERED?
- Education + training
- Clinical audit
- Clinical effectiveness
- Openness on poor performance
- Critical incident review
- Risk management
How many hours of CPD must a dentist undergo?
250hr within 5 years with at least 75hrs verifiable
Mandatory:
- Medical emergencies (2hrs/yr i.e. 10hrs a cycle)
- Radiology (5hrs)
- Disinfection + decon (h5rs)
Recommended:
- Law + ethics
- Complaints management
- Cancer detection
How are quality STANDARDS MONITORED?
By the Scottish Dental Practice Board (SDPB)
- Authorise payments to general dental service (GDS) practitioners
- Sets operational policy for prior approval
- Sets operational policy for referral to health boards
- Advises on quality of GDS tx provision
What is a clinical audit?
- Quality improvement process
- Aims to improve pt care + outcomes
- Achieved through systematic review of care against explicit criteria
- Implementation of change
How should a CRITICAL INCIDENT be REVIEWED?
- Identify event
- Collect + collate data
- Set up meeting to discuss
- Meet + undertake structured analysis
- Implement changes + monitor progress
- Write up sig event analysis
- Seek external comment/ feedback
Why are clinical audits carried out?
- Encrouages learning
- Identifies gaps in knowledge
- Training
- Modifies attitude
- Reinforces protocols
