Clinical Governance Flashcards
What are the 7 pillars of clinical governance?
- Evidence-based care and effectiveness
- Clinical audit
- Risk management
- Education, training and CPD
- Patient and public involvement
- Information management
- Staff and staff management
What is clinical governance?
Framework through which NHS organisations are accountable for continuously improving the quality of their service and safeguarding a high standard of care
What is a simple way of defining clinical governance?
A quality assurance process to maintain and improve standards of care for patients, with full accountability of the system towards patients
What goes clinical governance ensure?
Quality of care towards patients is at highest standard
What is clinical evidence-based care and effectiveness?
Ensure using best evidence and research to inform decision making
What are examples of clinical effectiveness and research?
Use of guidelines
NICE XLA 8s
Quality endodontic guidelines
RCS Guideline of XLA of FPMs
SDCEP Anticoagulatns and platelets
What is another key aspect of clinical effectiveness and guidelines?
New research, create guidelines
Ensure methods up to date and evidenced-based
Ensure highest standard of care
What is purpose of audit?
Cyclic process where current practice is compared to set standards with the aim of improving the clinical care delivered
How to undertake an audit?
- Identify an issue
- Set the standard (existing guidelines or local standard)
- Collect data
- Compare data to set standard
- Put into place changes
- Re-audit
Re-audit to see if changes have made a difference. Need close loop.
What are common audits?
FGDP RAD audits
Smoking cessations
What is risk management?
Involves understanding and minimising risk to patients - understanding can’t eliminate all risks but can migrate it with correct processes and procedures
What are examples of risks management?
Hazzard reporting
Incident reporting - DATIX / RIDDOR
WHO Surgical Safety CheckList
Following guidelines - IRMER etc
Purpose of risks management?
Put changes in place to minimise happening again
Why is education and training importance?
Healthcare is a rapidly changing field (e.g ab prophylaxis has changed rapidly in last 10 years)
Important to learn throughout career - linked CPD
Purpose CPD?
As HPCs providing best care possible - links clinical effectiveness
