Patient Safety Flashcards

1
Q

what do patients seek when they complain

A

explanations
assurances
apologies
refund of fees

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2
Q

what is a complaint

A

a complaint is any expression of dissatisfaction by a patient about a dental service or treatment, whether justified or not

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3
Q

what must be proven for a clinical negligence claim to be successful

A

the defendant owed them a duty of care
there was a breach of duty of care
the breach of duty caused harm
avoidable harm resulted

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4
Q

what is the model for complaints handling

A

frontline resolution - issues that are straightforward and easily resolved
investigation - issues that have not been resolved at frontline or are serious/ high risk
independent external review - for issues that have not been resolved by the service provider

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5
Q

what are the four aspects to frontline resolution

A

what is the complaint
what does the complainant want to achieve
can I achieve this or explain why not
if i cannot resolve this, who can help

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6
Q

what is DCS

A

dental complaint service

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7
Q

what can DCS assist with

A

explanation or apology
a full or partial refund in fees
remedial treatment
a contribution towards remedial treatment so that the work can be completed by another dental professional

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8
Q

when can DCS not help

A

the private complaint has been over 12 months
any complaints not raised within 12 months of treatment failing

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9
Q

what is HIS

A

health improvement scotland

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10
Q

what does HIS do

A

governs both NHS and private clinics in scotland

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11
Q

how may complaints be received

A

in writing
by telephone
in person

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12
Q

how long after the cause for complaint can people complain to HIS

A

6 months
unless the person making the complaint could not reasonably have known of the basis for the complaint

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13
Q

what may a patient complaint relate to

A

quality of care and treatment experienced by service user
actions a service/ provider took that the service user deemed inadequate
a service/ provider’s failure to take action when necessary

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14
Q

what are the 6 steps of complaint handling procedure

A

receive and assess the complaint
plan for the investigation
the investigation
decision making and reporting
follow up
appeals and grievances

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15
Q

name three laws associated with patient’s right to complain

A

GDPR (2018)
Scottish Apology Act (2016)
Montgomery vs NHS Lanarkshire Health Board (2015)

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16
Q

what GDC principle is related to complaining

A

Principle 5 - have a clear and effective complaints procedure

17
Q

as a GDP what must we do if we receive a complaint

A

ensure there is an effective written complaints procedure
follow the complaints procedure
respond to complaints within time limits
provide a constructive response to the complaint

18
Q

what should be kept with regards to complaint and where should they be kept

A

written record of all complaints with responses
should be separate from patient records

19
Q

if there is exceptional circumstances where the complaint cannot be resolved in the usual time schedule, how often should the patient be updated

A

every 10 days

20
Q

if the patient is not satisfied despite your best efforts to resolve complaints what should you tell them

A

the other avenues open to them:
- ombudsman (health service complaints)
- DCS (private dental treatment)

21
Q

what does early resolution mean

A

resolving the complaint at the first point of contact with the person making the complaint

22
Q

when must NHS timeline early resolution be completed

A

within 5 working days

23
Q

for the investigation stage of complaints handling, when must complaints be acknowledged and patients get a full response

A

acknowledged within 3 working days
full response ASAP but at least within 20 working days

24
Q

what must be included in a written acknowledgement of a complaint

A

contact details of feedback and complaints officer
details of the advice and support available
information on the role and contact details for SPSO
a statement confirming that the complaint will normally be investigated and results will be sent to complainant within 20 working days

25
what are five elements to risk management in complaints
find a practice you like build rapport with reception/ nurses never be too busy to listen know referral pathways and waiting times build rapport with labs
26
what is an audit
quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and implementation of change
27
what are uses of audits
observe gaps in knowledge learning attitudes protocol training
28
what are the 6 steps of the audit cycle
identify problem set criteria observe practice analyse and compare with standards implement change re-audit
29
what 6 factors make up consent
informed capacity valid non coerced non manipulated voluntary
30
what is clinical governance
systematic approach to maintaining and improving patient care in a health system
31
what are the six dimensions of health care
person centred safe equitable effective timely
32
how do you offer brief intervention
ask advise assist assess arrange
33
what 10 things should be on a referral letter
name of referrer, address, telephone/ email time of sending referral letter patient CHI, address and telephone any information relevant to patient's condition patient's GP relevant history of patient MH history of presenting issue clinical information what you want from the referral
34