the professional Flashcards
what is clinical governance
a framework through which NHS organisations are accountable for continuously improving the quality of their services and safe guarding high standards of care by creating an environment in which excellence in clinical care will flourish
what is the significance with bristol
is different because it marks the moment when many peoples trust in doctors first wavered significantly
what are the outcomes (3) of the bristol timeline
two doctors were struck off the register
£11 million public enquiry with fear reaching recommendations for the NHS
Negative public opinion on professionals & quality of care
what was the Kennedy report
was a milestone in the development of healthcare governance and influenced many areas of professional regulation
what was the 1999 health act
government placed a statutory duty of quality on each health care organisation
what is a first class service
quality framework set out in government policy
what are the 7 pillars of clinical governance
patient and public involvement
Use of information and support to clinical governance and healthcare delivery
Risk management
Research and clinical effectiveness program
Clinical audit
Staffing and staff management
Education, training and conducting personal and professional development
how to improve clinical governance
follow SOPs
audits at every stage
efficient
information shared effectively
share learning
secure technology
what is a person centered approach
focuses on the errors of individual
blaming them for forgetfulness, inattention or moral weakness
bad things happen to bad people
system centred approach
assumes humans are human and errors are to be expected, even in the best organisations
concentrate on conditions under which individuals work
Tries to build defences to prevent errors or reduce their effects
what is a controlled drug accountable officer
any CD incidents need to be reported to your CD accountable officer
what is a near miss
it is defined by a patient safety incidents that is detected before the patient or representative has handled the dispensed prescription. Preventing any unexpected harm. All near misses should be recorded and it is advisable to report them.
OM?
once in the morning
ON
one at night
OP?
original pack
BD?
twice a day
TDS?
three times a day
QDS
four times a day
PRN
when required
describe unlicensed
no MA
specials
off label
dosage form altered
extemporaneous preparation
describe off label
used outside of its MA
has MA for a different indication/purpose to the one that is being prescribed for.
describe specials
company must hold a specials manufacturers licence
issued by the MHRA
ensure quality and safety
yellow card scheme
pharmacy records for specials
kept for 5 years
date obtained and date supplied
person supplied
quantity
batch number
any suspected ADRs
