clinical governance and audit

Question 1

define clinical governance

Answer 1

a systematic approach to maintaining and improving the quality of patient care within a health system

Question 2

what are the 6 dimensions of healthcare quality

Answer 2

timely - appropriate treatment at the right time for everyone
efficient - the output (benefit) is maximised for the given input (cost)
effective - most appropriate interventions, support and services provided to everyone
equitable - the distribution of care is based on need
safe - no avoidable injury or harm from healthcare
person-centred - demonstrates clear communication and shared decision making

Question 3

3 divisions of NHS and their function

Answer 3

hospital dental service - consultant advice and treatment
PDS - promote oral health of the public
general dental service - first point of contact for dental treatment

Question 4

how many hours of CPD in a 5 year cycle

Answer 4

100 hours, all verifiable
at least 10 hours every 2 years

Question 5

what are the recommended CPD topics

Answer 5

medical emergencies (10h in 5y)
disinfection and decontamination (5h in 5y)
radiography and radiation protection (5h in 5y)

Question 6

what are the components of clinical governance

Answer 6

education and training
openness
risk management
research and development
clinical audit
clinical effectiveness

Question 7

what are the stages of a clinical audit

Answer 7

identify problem or issue
set standards and criteria
collect data/ observe practice
compare the performance to the standards and criteria
implement change

Question 8

name two ways of formal quality improvement activity

Answer 8

peer review - groups of dentists share experiences, share learning and implement change
research project - participation in formal/approved research project within the Scottish dental practice based research network

Question 9

define clinical audit

Answer 9

quality improvement process that seeks to improve patient care and outcomes through systematic review against explicit criteria and the implementation of chance
ensures that what should be done is being done, and if not it provides a framework to enable improvements to be made

Question 10

6 members of the dental team that need to be registered with the GDC

Answer 10

dental nurse
GDP
orthodontist
dental hygienist
dental technician
periodontist