Quality improvement, clinical governance & reflection Flashcards
1
Q
What is quality improvement?
A
- The combine and unceasing effort of everyone to make the changes that will lead to better patient outcomes, better system performance and better professional development
2
Q
What are the benefits of quality improvement?
A
- Preventing avoidable harm to patients
- Improving patient-centred care
- Embeds EBVM
- Enhances client compliance
- Develops a united team
- Fosters a learning culture
- Improves communication
3
Q
What is clinical governance?
A
- A continuing process of reflection, analysis and improvement in professional practice for the benefit of the animal patient and the client owner,which reduces the risks and enhances the likelihood of outcomes reoccurring
- 7 pillars
4
Q
What are the 7 pillars of clinical governance?
A
- Clinical Effectiveness
- Information
- Risk Management
- Education & Training
- Audit
- Patient & Public Involvement
- Staff Management
5
Q
What is the relevance of care plans to clinical governance?
A
- Allows audits
- Trends and patterns can be reviewed to identify effectiveness of care and therefore can be improved on
6
Q
What is clinical auditing?
A
- Reviewing trends, patterns and evaluating events to think of ways to improve on them
7
Q
What are practice standards scheme?
A
Records such as GA monitoring sheets, hospitalisation sheets, euthanasia protocols, care plans, consent forms, complaints, and post-op complications
8
Q
What happens in a clinical governance meeting?
A
- Discuss cases and protocols
- Improvements can be made to maintain gold standard practice
- Discuss CPD between members of the team
- Changes can be implemented and then reviewed
9
Q
How can clinical governance be promoted?
A
- Practice meetings
- Communication of information obtained at CPD meetings
- Significant event meetings
- Practice policies/protocols
- Clinical audits
10
Q
Describe the clinical audit cycle?
A
- Choose a topic you want to improve on
- Select a criteria
- Set a target
- Collect data
- Analyse data
- Implement change
- Re-audit
-Review and reflect
11
Q
What are the benefits of performing a clinical audit?
A
- Helps to standardise care throughout practice
- Improves clinical effectiveness
- Creates a positive team culture
- Simulates team discussions
- Increases client confidence
- Complies with RCVS requirements
- Counts as CPD
12
Q
What does a PICO question stand for?
A
- Patient
- Intervention
- Comparator
- Outcome
13
Q
What is an example of PICO questions for a Feline with DKA?
A
- Patient= Feline DKA
- Intervention = s/c insulin
- Comparator = CRI of insulin
- Outcome = Which is better
14
Q
What is clinical reflection?
A
- Mental process that involves self-awareness and introspection to help think about, plan and deliver high quality and safe care to patients
15
Q
Describe Gibb’s reflective cycle
A
- Description
- Feelings
- Evaluation
- Analysis
- Conclusion
- Action Plan
