Clinical governance, negligence and principles Flashcards
What is clinical governance?
A systematic approach to maintaining and improving patient care within a healthcare system
What are the 6 components of clinical governance?
CROCER
Education & training
Clinical audit
Clinical effectiveness
Research and development
Openness
Risk management
What 2 things do you need to do after a clinical audit?
Implement changes
Repeat the audit
What are the 5 dimensions that make up good quality of healthcare?
TEEEPS
Person-centred
Safe
Effective
Equitable
Efficient
Timely
What is a clinical audit?
A quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the implementation of changes
What are the uses of an audit?
Observe gaps in:
Knowledge
Learning
Attitudes
Protocol
Training
What are the components of an audit cycle?
Identify problem
Set criteria/ standards
Observe practice/ data collection
Analyse and compare with criteria/ standards
Implement change
Re-audit
What 6 factors make up consent?
Informed
Valid
Capacity
Voluntary
Non-manipulative
Not coerced
What things must be discussed for informed consent?
ALL options for treatment - risk and benefits
Likely prognosis - is treatment likely to be successful, what happens if not
No unjust/ unwarranted pressure
What makes consent VALID?
Recent
Specific
Voluntary
informed
What is clinical negligence?
The omission to do something which a reasonable practitioner would do, or doing somehting which a reasonable practitioner would not do
For a clinical negligence claim to be successful pt. must prove its more than likely that what?
Dental professional owed them a duty of care
There was a breach in duty
The breach in duty caused harm
Avoidable harm resulted
What are the 9 GDC principles?
Put patient’s interest first
Work with colleagues in a way that puts patients best inerest first
Communicate effectively with patients
Obtain valid consent
Maintain and protect patient’s information
Have a clear and effective complaint’s procedure
Maintain, develop and work within your professional knowledge and skills
Raise concerns if patient at risk
Professionalism - so pt. maintain confidence in profession and you
What are the 3 stages of complaint handling in the NHS?
Frontline resolution - must be completed within 5 days
Investigation
Post-investigation review
What are examples of hihg risk complaints?
One that involves death or terminal illness
Involves serious service failure for example major delays in providing care
Ones that generate a significant and ongoing press interest
Ones that pose a serious risk to an organisation’s operations
