Ideals Flashcards
What is a clinical governance?
Is a systematic approach to maintaining and improving the quality of patient care within a health system
After what scandal did the clinical governance become important?
After the bristol heart scandal
What are the 3 key aspects of the clinical governance definition?
High standard of care
Transparent responsibility and accountability for those standards
Constant dynamic of improvement
What is a driver?
It is your charactersitic behaviour which are usually your strenghts but can become your weakness at times of stress.
Explain the “Be strong” driver?
You think its best not to share your feelings. Think the best way is taking everything on board (on your shoulders) and not asking people for help.
This however can make you seem unemotional and also don’t need the support/help of others.
Explain the “Be perfect” driver?
You are very good at the accurate detailed jobs.
you will be neat in your appearance and you will value cleanliness and tidiness.
However it might mean that everything you do has to be absolutely right and may never be able to meet your standard.
Als might find it hard to delegate people roles as you don’t think they can do the job to your standard or peolle may find it hard to accept your standards.
Explain the “Try hard” driver?
You love new projects, new things and working uner pressure. You believe that your values come from how much effort you put into things.
However it can turn into you committed into trying to hard rather than succeeding.
You might might turn a small task into a big one so you can work harder.
Explain the “Hurry up” driver?
You will be able to do a lot of things in a very short space of time but at times might take too much on at once. You will always be in a hurry, late to meetings and leave things to do to the last minute. May have to many appointments on one day and seem impatient to others
Explain the “Please others” driver?
You are a very good team member and always try to please other people. You think by doing what others ask you to do you will be valued. You sometime accept work or inviations from others instead of working on your own priorities. You may feel guilty for saying no to something that is unreasonable.
In turn people may get fustrated for always trying to please them or think your not genuine
What are the stages of root causes of problem
Organisation/culture–> contributing factors–> care delivery problems –> defence barriers –> incident
What are the contributing factors to the cause of a incident in the root cause analysis?
Individual factors Work factors Team factors Patient factors Task factors
Errors and violation or procedure conditions
What are the care delivery problems that leads to a incident in the root cause analysis?
Unsafe acts
Erros
Violation
These are active failures
What is the summary of the root cause analysis?
React, record, respond
What is the “sight” mnemoics?
S: suspect a patient I: isolated a patient G: gloves and apporn H: hand hygiene with water and soap T: test for toxins
What is the mneomic used for challenging a superior in health care?
PACE
What does PACE stand for in terms of challenging a superior?
Progressive aggression P:probe A:alert C:challenge E:emergency
What is the aim of the Caldicott Guidelines?
The aim was to improve the handling and protection of patients information in the NHS
What are the 6 Caldicott Guidliness for the use of patient information?
1) Be able to justify the purpose of the use of confidential information
2) Use it only when absolutely neccessary
3) Use the minimiun required
4) Gain access on a strict need to know absis
5) Understand your responsibility
6) Understand and comply with the law
What is the aim of quality improvement?
To fill in the gaps between the the care that is give and the case that should be given.
Different between should and is
What factors may be seen in a group?
Group members are more likely to work independently
Group members more likely to have poor communication
Group members are more likely to sink or swim by themselves
Group members are less likely to be committed
Group members usually only take responsbility for the own task
What are the factrs seen in a team?
Individuals collaberating to a common interest
Good, easy informal communication
Advice and support across the team
All are committed to the same goals
Share responsibility blame and success across the team
Invested participation in work
What is Maslows Hierarchy of needs?
It is the idea that people are motivated to achieve certain needs. Once that need is fulfilled they attempt to fulfill a new need
What is the levels of Maslows Hieracy of needs? Bottom to top
Bottom: Physiological: basics such as food , sleep and water
Security and safety: Physical safety, economic safety and freedom from threat
Social: Acceptance and embraced from other people
Esteem: Investments into important projects and recognition from peers
Top: Self actualisation: Challenging projects, opportunities for investment and intellectual fulfiment
What are the 3 general roles in BELBINS TEAM ROLES?
Action orientated roles
People orientated roles
Thought orientated roles
What are the action orientated roles?
Shaper–> Challenges the people to improve
Implementer –> puts the ideas into practice
Completer finisher –> ensures the project gets finished throughly and on time
What are the people orientated roles?
Coordinator –> acts as a chairman –>
De bonos 6 hats within coordinator
Team worker –> encourages cooperation
Resource investigator–> Explores outside opportunties
