Clinical Governance Study Documents

1. what is clinical governance? doing the right things for the right person for the first time requires written procedures to ensure that everyone knows their responsibilities 2. audit and quality improves patient care through systematic review-inspecimprovement tions reviewing-learning-implement changes 3. service evaluation determines how well service is working 4. staff management GPhC will investigate three things: any new member of staff must have a induction, ongoing support and training development GPhC will investigate- inappropriate behaviour, dishonesty, criminal, dispensing errors, working under influence of drugs or alcohol 5. raising concerns- whistleblowing and the public interest disclosing act 1998 person who is getting investigated must have: this acts protects whistleblowers from negative treatment. criminal offence breach of legal obligation miscarriage of justice danger to health and safety of individual damage to environment 6. when can a phar- a serious crime macy profession- serious harm to person receiving care al disclose con- serious risk to public health fidential information? 7. standard operating procedures(SOPs) comprehensive guide on how to correctly perform on specific tasks requirement from the GPhC ensures that laws related to manufacturing are correctly implemented 8. general data protection regulation 2018 1/4 patient confidentiality- what act? 9. 7 principles of GDPR lawfulness purpose limitation data minimisation accuracy storage limitation integrity and confidentiality accountability 10. Caldicott princi- all data of patients and service users are to kept confidenples tial 11. summary care record(SCR) secure electronic patient record accessed in emergency situations choice to have an SCR or not- need permission each time to access medicines, allergies, adverse drug reactions to improve safety and quality of patient care may use SCR for emergency supply need to have a reason as to why you are looking for SCR once accessed SCR, need to contact SCR governance and make record in patients PMR 12. dispensing errors wrong dose missing items wrong item- could be more than one formulation wrong quantity date expired wrong patients- can have same address/ DOB 13. the pharmacy or- were calls for decriminalisation for dispensing errors until der 2018 pharmacies order 2018 reduces risk of prosecution and automatic criminalisation 14. pharmacy order removes threat of criminal sanctions 2022 introduced statuary role of chief pharmacists-registered pharmacists with senior management roles 2/4 15. examples of dis- poor handwriting pensing errors mental block- confuse pair of drugs. calculations dose forms foreign bodies- foreign bodies or dirt poor procedures- too little space or untidiness unreasonable workload 16. patient safety in- if there has been a dispensing error and the wrong medcidents ication has reached the patient regardless of whether the patient has been harmed must be honest 17. degree of harm(errors)-NLRS actual level of harm patient has suffered from the incident no harm low harm-extra observation or minimal treatment moderate harm - lead to surgery severe harm- permanent or long term harm death 18. learn from replaces NRLS patient safeallows organisations to record details of incidents ty events(LFPSE) providers can access data of incident services 19. reducing risk and report managing disinvestigate pensing errors plan- to prevent incident from happening again sharing- share info with people involved in incident to make them aware 20. near misses error occurs but doesn't reach patient risk management process must take place pharmacies could complete near miss procedures often to identify any trends 21. Swiss cheese model holes on swiss cheese-errors can occur mor slices=more stages= more room for errors errors occur when holes line up 3/4 if you improve process at each step, you can reduce the sixes of the holes 22. duty of candour tell the truth 4/4