Governance Flashcards
(13 cards)
Meaning of governance
A set of rules or principles which are implemented to ensure best practice
Clinical Governance
” framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish” Recommends behaviours that will ensure the best quality of clinical care for patients. Keeping uptodate
guidelines
audit
involving patients in improvements
recording critical incidents
reflecting on practice
Research Governance
Ensuring research is carried out in the best possible way.
Training
Correct consent
Ethical approval
Financial Governance
Ensuring trust remains financially sound.
Budgets set
Only trained staff have access to finances
Proper authorisation processes for purchases
Information Governance
Set of practices that ensures information is recorded, protected and used properly.
Passwords - limiting access to others
limiting paper storage
Clearly recorded notes and suitable for patient viewing
Data backups
Access to data controlled
7 pillars of clinical governance
- Clinical Effectiveness & Research
- Audit
- Risk Management
- Education & Training
- Patient & Public Involvement
- Information & IT
- Staff & Resource Management
Pillar 1 Clinical effectiveness and research
About implementing best practice
- evidence based approach
- local guidelines and protocol
- checklists
NICE WHO
- disseminating best practice through education and change management
GIRFT
Pillar 2 Audit
and benefits
Examining an organisation against set standards
- reflecting on and reviewing practice
- increasing the quality of services to users
Benefits
- Promotes good practice
- provides info for others about how we are doing
- opportunities for training and education
- efficiency and better use of resources
Pillar 3 Risk Management
RCA
Morbidity and mortality
Datix now RADAR
Managing complaints
reflective practice
encouraging reporting
Pillar 4 Education and Training
50% of medical knowledge changes every 5 yrs
a) personal development
Courses/journal club/reading journals/case review meetings/reflective practice
b) developing others
Assessing and appraising juniors
organising training
journal clubs
SIM
Pillar 5 Patient and Public Involvement
Liaising with patients to help improve services
PALS
surveys to assess satisfaction
patient forums
Pillar 6 Information and IT
Caldicott report - focus on medical confidentiality
Caldicott guardians and security information officers (SIOs)
Principles
1 justify purpose for using info
2 use confidential info only when necessary
3 use minimum necessary
4 limit access
5 everyone with access should know responsibilities
6 comply with the law
Staff and resource management
People/equipment/supplies
- maintain equipment
- staff training
- drugs and supplies maintained
- recruitment of new staff and processes
