Clinical Governance and Audit Flashcards
What is clinical governance?
- Improving quality of services
- High standards of care
What is revalidation?
Ensuring clinicians are up to date and providing service of good quality.
What is the benefit of clinical governance?
Improved patient care through better standard of service.
What is the Care Quality Commission (CQC)?
Make sure that people are following guidance by inspection of places.
What happens if you fail a CQC inspection?
A report is given including what needs improvement. Another inspection will be done after to check if improvements have been made.
-> No improvement -> can close place
What are the 3 key components of clinical governance?
- Patient development
- Professional development
- Organisation development
What 2 things are part of clinical governance?
- SOPs
- Dispensing Error Log
What do SOPs ensure?
Quality and consistency of service
For the dispensing error log, what is good practice to keep a record of?
- Near misses
- Dispensing errors
What is a clinical audit?
Improving care of patients through regular reviews, learning from it, and implementing changes if necessary.
How many audits should community pharmacies do?
2 audits per year.
What should be done to help support change?
Produce objective information.
What are the 5 stages to an audit cycle?
- Identifying problem or issue
- Set criteria and standards
- Observe practice/data collection
- Compare performance with criteria and standards
- Implementing change
When identifying a problem or issue, what should clinical audits have a focus on?
Clear patient focus.
Give an example of what an audit can be on.
A drug which is abused/misused.
What should you think about when setting standards for a clinical audit?
Think about what should be happening.
When setting standards, a criteria is set which should have what?
A target percentage.
What is the typical number of standards for an audit trial?
2/3
What happens when comparing performance and standards?
- Use charts/graphs to present results
- Standard met? Yes. If not, why not?
What happens during the re-audit?
Check whether improvements have been implemented.