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Clinical Governance

Clinical Governance. The pursuit of excellence in clinical care. Making better sense of Clinical Medicine. Peter Sims Professor of Public Health Medicine The School of Medicine University of Papua New Guinea. Clinical Governance is Performance Management for Clinicians.

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Clinical Governance

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  1. Clinical Governance The pursuit of excellence in clinical care www.petersims.co.uk

  2. Making better sense of Clinical Medicine • Peter Sims • Professor of Public Health Medicine • The School of Medicine • University of Papua New Guinea www.petersims.co.uk

  3. Clinical Governance is Performance Management for Clinicians • The components are • Clinical Audit, Risk Management, Quality, Continued Professional Development and Research and development • Clinical Governance requires that all these aspects are in place and practiced • They are quantified in terms ofInput,Process and Outcome www.petersims.co.uk

  4. Clinical Governance Part1 • Concepts and definitions • Clinical Audit • Risk Management • Continued Professional Development (CPD) www.petersims.co.uk

  5. Performance Management www.petersims.co.uk

  6. Corporate and Clinical Governance www.petersims.co.uk

  7. RESEARCH& DEVELOPMENT RISK MANAGEMENT QUALITY AUDIT CONTINUED PROFESSIONAL DEVELOPMENT & INDEPENDENT PERFORMANCE REVIEW www.petersims.co.uk

  8. The Systematic and continuous review of clinical practice and process www.petersims.co.uk

  9. The Audit Cycle Set Standards Repeat Audit Conduct Audit Take action-Resources, Training Identify Problems www.petersims.co.uk

  10. The Audit Cycle-a helix www.petersims.co.uk

  11. Audit versus Research 1-off, Research design, Type1 & Type 2 errors, Sample size, Significance, Power, Controls, Publish RESEARCH Normal work (common problems) Repeated several times, Action taken Not published but a tool AUDIT www.petersims.co.uk

  12. Risk Management www.petersims.co.uk

  13. The Risk can be Quantified-as the Consequence • It is the product of The seriousness of the HAZARD x • The PROBABILITY of Occurrence www.petersims.co.uk

  14. Hospital Risk Management Factor Hazard Risk Consequence Fire ++++ 1 in 100,000 Considerable MRSA + 1 in 100 Fair Bed + 1 in 10 Minor sores www.petersims.co.uk

  15. Teach, Learn, and Develop Staff • Performance review for Strengths, Weaknesses and an Agenda for Action • Continued Professional Development or Education for Life www.petersims.co.uk

  16. Continued professional development (CPD) • Maintaining existing skills • Developing new skills • Keeping “up to date” • Sustaining enthusiasm www.petersims.co.uk

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