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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