Governance Etc

Question 1

What are the surgical ‘never events’ as per nhs England?

Answer 1

1 wrong site surgery
2 wrong implants/prosthesis
3 retained foreign object

Question 2

What are the medication ‘never events ‘ as per NHS England?

Answer 2

1 mis-selection of a strong potassium containing solution

2 wrong route administration of medication

3 overdose of insulin due to abbreviations or incorrect device

4 Overdose of methotrexate for non-cancer treatment

5 mis-selection of high strength midazolam during conscious sedation

Question 3

What are the mental health ‘never events’ according to NHS England?

Answer 3

1 failure to install functional collapsible shower or curtain rails

Question 4

What are the general ‘never events’ according to NHS England?

Answer 4

1 falls from poorly restricted windows

2 chest or neck entrapment in bed rails

3 transfusion or transplantation of abo-incompatible blood components or organs

4 misplaced naso- or orogastric tubes

5 scalding of patients

Question 5

What are the 4 categories suggested for the maternity dashboard?

Answer 5

1 clinical activity
2 workforce
3 clinical outcomes
4 risk incidents/complaints or pt satisfaction surveys

Question 6

What is the definition of clinical audit?

Answer 6

A quality improvement process
Seeks to improve patient care and outcomes
Through systematic review of care
Against explicit criteria and implementation of change

Question 7

What can be audited?

Answer 7

Structure (organisation or provision) of services

Process of care

Outcome of care

Question 8

What are the 5 steps of the clinical audit cycle?

Answer 8

1. Select a topic
2. Identify appropriate standard
3. Collect data to assess performance against prespecified standard
4. Implement changes to improve care if necessary
5. Collect data for 2nd/subsequent time to determine whether care has improved