NCS1101 Lecture Notes - Lecture 3: Coroner, Risk Assessment, Swiss Cheese Model
5 Jun 2018
School
Department
Course
Professor
WEEK – CLINICAL GOVERNANCE
What is clinical governance?
• Monitoring of health care standards to continuously improve
the quality of patient care and services by holding them
accountable
• Everyone working within health system is responsible
• Plan – Do – Check – Act
• Clinical governance – monitoring of health care standards to
continuously improve the quality of patient care and services
by holding them accountable
• Clinical risk - concentrates on minimizing risk and improving
overall clinical safety by identifying and reducing risks, and
examining adverse incidents to find causative and contributing
factors
Guiding principles of clinical governance
• Client outcome based
• System wide approach
• Learning culture
• Partnerships
• Clinical leadership and involvement
• Information and data based
• Self sustaining
• Open to external audit
• Multi disciplinary approach
• Transportable to other setting
How to ensure safety/quality in WA health
• Accreditation – meeting required National Safety and Quality
Health Service (NSQHS) standards
• Clinical incident managements – sentinel events investigated
for improvement
• Consent – consent by patient
• Credentialling – formal checking of practitioners, midwives and
nurses for qualifications and experience
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