clinical governance and risk management

Question 1

what are the 6 fundamental elements of clinical governance

Answer 1

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

Question 2

what is the purpose of a trust having a research and development department

Answer 2

• develop new meds/treatment
• prevent illness
• improve quality of life
• improve understanding o conditions

Question 3

why is education and training an important part of clinical governance

Answer 3

• essential to ensure staff are equipped to deliver world class care

Question 4

what is clinical effectiveness

Answer 4

• application of best knowledge, derived from research, clinical experiences and patient preferences to achieve optimum processes and outcomes for patients

Question 5

what is clinical audit

Answer 5

• quality improvement cycle that involves measurement of the effectiveness of healthcare against agreed and proven standards for high quality

Question 6

what is duty of candour

Answer 6

Being open and honest with patients and those close to them

Question 7

define risk assessment

Answer 7

systematic examination fo what in your work could cause harm to people

Question 8

how is the likelihood of a risk to occur ranked?

Answer 8

• via frequency of 1-5
• 1 = rare
• 5 = almost certain

Question 9

how is the consequence/impact ranked?

Answer 9

• negligible, minor, moderate, major and catastrophic

Question 10

what is the risk matrix

Answer 10

• table of risk assessment
• x axis = severity
• y axis = likelihood

Question 11

what is a risk register

Answer 11

management tool that allows an organisation to understand its risk profile

Question 12

what are 4 types of risk registers

Answer 12

• departmental e.g MRI
• division e.g Radiology
• corporate (all high and extreme risks)
• dynamic living document (edited and updated over time)

Question 13

what dose RCA stand for and what does it do

Answer 13

• root cause analysis
• finds the cause of issues and is undertaken where the harm is moderate and severe
• (finds underlying issues)

Question 14

what type of incidents should you report

Answer 14

• when harm is could have or has been done to patient, visitor, staff
• serious untoward incidents
• near misses
• never events

Question 15

how do you report incidents

Answer 15

Datix/sentinel

Question 16

what is datix/sentinel?

Answer 16

web-based patient safety software for risk management