Quality in Healthcare and Clinical Governance

Question 1

What are the 6 dimensions of healthcare quality?

Answer 1

-person centred
-safe
-effective
-efficient
-equitable
-timely

Question 2

What factors contribute to adverse events in healthcare?

Answer 2

-human factors (teamwork, communication, stress, burnout)
-structural factors (reporting systems,infrastructure, environemnt)
-clinical factors (complexity of care and length of stay

Question 3

What are the components of clinical governance?

Answer 3

-education and training
-clinical audit
-clinical effectiveness
-research and development
-openess
-risk management

Question 4

What things are done to help with quality in healthcare?

Answer 4

-setting quality standards
-delivering quality standars
-monitoring quality standards

Question 5

How are quality standards set?

Answer 5

Use of high quality evidence to set clinical guidelines

Question 6

How do you deliver quality standards?

Answer 6

-CPD of all staff
-openess on poor performance and practise (should have processes and system in place)
-risk management

Question 7

How do you monitor quality standards in healthcare?

Answer 7

-clinical sudit
-peer review
-enhanced signficiant event analysis (critical incident review)
-research projects
-quality improvement projects

Question 8

What are the GDC recommendations for CPD topics?

Answer 8

-medical emergencies
-disinfection and decontamination
-radiography and radiation protection
-complaints handling
-oral cancer
-safeguarding

Question 9

What is a clinical audit?

Answer 9

quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit critera and the implementation of change

Question 10

What is the key component of a clinical audit?

Answer 10

that performance is reviewed (audited) to ensure what should be done is being done and if not it provides a framework to enable improvements to be made

Question 11

What are the steps in a clincial audit?

Answer 11

1-identify the problem or issue
2-set criteria and standards (decide on data requirements)
3-observe practise and collect data
4-compare performance with criteria and standards
5-identify any areas of change required
6-implement change
7-repeat audit process and determine whether improvement have occurred

Question 12

What are the educational strengths of an audit?

Answer 12

-is a critical review of current practise (encourages learning about new techniques and treatments)
-small group work (modifying attitudes and management of clinical conditions)
-observation of practise (indicate gaps in knowledge and/or skilling - training)