Clinical Governance and Audit - Professor Tahir Pillay

Clinical Governance and Audit - Professor Tahir Pillay

The Royal College of Pathologists via YouTube Direct link

Intro

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1 of 21

Intro

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Clinical Governance and Audit - Professor Tahir Pillay

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  1. 1 Intro
  2. 2 Clinical audit in the laboratory • Audits are part of continuous quality improvement and one of the key elements of clinical governance. • Laboratory-based clinical audits: are a means of providing f…
  3. 3 Overall process of audit • The audit is conducted, findings are made and changes are implemented and then a re-audit is performed after a certain time period to ensure that the changes have been impl…
  4. 4 Role of the laboratory in medical decisions • Importance of laboratory data medical decision making process
  5. 5 Laboratory audit Five distinct activities can be considered under the broad umbrella of audit: 1. Solving problems associated with process or outcome 2. Monitoring workload in the context of controll…
  6. 6 Relationship between clinical governance and audit . Clinical audit is one of the key elements of clinical governance . Clinical governance is a system whereby healthcare organisations are accountabl…
  7. 7 What is the definition of Clinical Governance? - What are the seven pillars of Clinical Governance? • What is your role in supporting Clinical Governance? What is at the heart of Clinical Governance?…
  8. 8 a system through which medical organisations are accountable for continuously improving the quality of services" OR •"a corporate accountability for clinical performance.
  9. 9 "A framework through which healthcare organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in whic…
  10. 10 a quality improvement process that seeks to improve the patient care and outcomes through systematic review of care against explicit criteria and the implementation of change
  11. 11 All core audits for clinical governance should address: the patient userview . critical incident reporting . the perceived quality of help and advice to other doctors.
  12. 12 Royal College of Pathologists . 2005-the Royal College of Pathologists published a code of practice for clinical biochemists and clinical biochemistry services in which clinical biochemists were requ…
  13. 13 Benchmarking . Process of measuring products, services and practices against leaders in a field, allowing the identification of best practices that lead to sustained and improved performance.
  14. 14 Role of evidence-based medicine · Evidence-based medicine (EBM) core of continuous quality improvement programmes and audits are very much part of the continuous process to implement and maintain bes…
  15. 15 What is the difference between audit and research? Research Create new knowledge and provides
  16. 16 Approach to conducting an audit . Clinical audits should be conducted within a structured programme, with effective leadership, involving all staff, and with emphasis on team work and support.
  17. 17 How does audit affect laboratory services? • Assessing and modifying laboratory and clinical practice • Ranging from the use of services to the clinical effectiveness of Laboratory tests as well as t…
  18. 18 Structure programme • Effective leadership involved all staff . Emphasize team work and support • Funding should be available as staff resources will be use • Allocate time for staff • The audit may …
  19. 19 How does audit affect laboratory services . Clinical care • High quality clinical guidelines help clinicians to change the ordering pattern of tests to more rational ones with a better cost/benefit r…
  20. 20 Summary • Systematic improvement of health services requires the objective measurement of people, practices and organisations against valid and explicit standards in order to identify and implement a…
  21. 21 Summary (continued) • Audits are part of continuous quality improvement in the laboratory and one of the key elements of clinical governance. • Audits compare current practice against an accepted sta…

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