Research and Clinical governance (Scholar, Medical expert)

Question 1

What is audit?

Answer 1

An audit is a quality assurance process that assesses current practice to the standards

Question 2

What is the audit process?

Answer 2

6 steps

1. Identify an issue or problem - unknown what prescribing practices were happening on the 23 Hour Ward
2. Identify a standard - Examine the
3. Collect data on current practice
4. Assess conformity of clinical practice with standard
5. Implement change
   Close the loop

Question 3

What is clinical governance?

Answer 3

PIRATES

Public, IT, Risk mx, audit, training, effectiveness, staff management

Question 4

Tell us about an audit you have done ?

Answer 4

Discharge prescription opioids on the 23 hour ward Role - organize, collect and present
Why - Not much is known about the opioid prescriptions at my hospital
Standard - literature review of the current data Proposals - understand that the hospital did not have an issue, ?made aware the need for more simple analgesia
Re-audit - should do another audit in 6 months

Question 5

What is the difference between guidelines and protocols?

Answer 5

Protocol is a step by step process outline for undertaking a specific task
A guideline is a systematically developed statement to ‘a systematically developed statement to assist decisions about appropriate healthcare for specific circumstances.’ Clinical guidelines are based on the best available evidence and provide recommendations for practice about specific clinical interventions for specific patient populations.

Question 6

Give me an example of a protocol?

Answer 6

Think about protocols for Heparin infusion

Question 7

Give me an example of a guideline?

Answer 7

Therapeutic guidelines