Consent, Governance & Audit / Root Cause Analysis

Question 1

Define clinical governance

Answer 1

Continuously improving quality and safeguarding high standards in order to achieve excellence in clinical care.

Question 2

There are 4 types of errors when applying root cause analysis; 2 intended and 2 unintended.

a) Is a “mistake” intended or unintended?
b) Explain what is meant by a “mistake”

Answer 2

Intended

Knowledge or rule based error. E.g. hydralazine prescribed instead of hydroxyzine