Clinical Governance
The pursuit of excellence in clinical care
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Making better sense of Clinical Medicine
• Peter Sims
• Professor of Public Health Medicine • The School of Medicine • University of Papua New Guinea
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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 of
Input,Process and Outcome
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Clinical Governance Part1
• • • • Concepts and definitions Clinical Audit Risk Management Continued Professional Development (CPD)
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Performance Management
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Corporate and Clinical Governance
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RESEARCH& DEVELOPMENT
RISK MANAGEMENT
QUALITY
AUDIT
CONTINUED PROFESSIONAL DEVELOPMENT
& INDEPENDENT PERFORMANCE REVIEW
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The Systematic and continuous review of clinical practice and process
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The Audit Cycle
Set Standards Repeat Audit Conduct Audit
Take actionResources, Training
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Identify Problems
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The Audit Cycle-a helix
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Audit versus Research
RESEARCH
1-off, Research design, Type1 & Type 2 errors, Sample size, Significance, Power, Controls, Publish
Normal work (common AUDIT problems) Repeated several times, Action taken Not published but a tool
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Risk Management
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The Risk can be Quantifiedas the Consequence
• It is the product of The seriousness of the HAZARD x • The PROBABILITY of Occurrence
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Hospital Risk Management
Factor Hazard Risk Fire ++++ Consequence
1 in 100,000 Considerable 1 in 100 1 in 10
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MRSA + Bed sores
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Fair Minor
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Teach, Learn, and Develop Staff
• Performance review for Strengths, Weaknesses and an Agenda for Action • Continued Professional Development or Education for Life
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Continued professional development (CPD)
• Maintaining existing skills • Developing new skills • Keeping “up to date” • Sustaining enthusiasm
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