scholarly journals Clinical governance: breathing new life into clinical audit

2002 ◽  
Vol 8 (6) ◽  
pp. 470-476 ◽  
Author(s):  
Claire Palmer
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Clinical Audit ◽  
Clinical Governance ◽  
Everyday Clinical Practice ◽  
Integral Component

The terms ‘clinical audit’ and ‘clinical governance’ elicit a variety of responses, including boredom, frustration, incomprehension and, rarely, enthusiasm. This paper sets out to persuade the reader that clinical audit, as an integral component of clinical governance, will be reborn as an activity that clinicians will find interesting, developmental and a useful part of their everyday clinical practice. Under clinical governance, clinical audit will at last be able to achieve important and measurable improvements in patient care as a matter of routine.

scholarly journals The use of operationalised criteria for inclusion on a Care Programme Approach register

2001 ◽  
Vol 25 (5) ◽  
pp. 172-174 ◽  
Author(s):  
M. Phipot ◽  
H. Hales ◽  
B. Sheehan ◽  
S. Reeves ◽  
M. Lawlor
Keyword(s):  
Clinical Practice ◽  
Clinical Audit ◽  
Clinical Governance ◽  
Clinical Implications ◽  
Policy Feedback ◽  
Retrospective Case ◽  
Care Programme ◽  
Minimum Standards ◽  
Audit Cycle ◽  
Service Policies

Aims and MethodTo determine the rates at which clinical teams within one NHS trust placed older people on a Care Programme Approach (CPA) register and to examine the degree to which clinicians' use of the register conformed to trust policy. Two retrospective case notes surveys were carried out 6 months apart within a completed audit cycle.ResultsConsultant teams varied considerably in their application of the CPA policy. Feedback to clinicians after the first survey had a variety of effects on subsequent use of the CPA register.Clinical ImplicationsHealth service policies exist to reduce variation in clinical practice and to ensure minimum standards. Clinical audit may be a useful tool in identifying irrational variation within the framework of clinical governance.

Audit of Adverse Clinical Incidents in the Anaesthetic Recovery Room

2001 ◽  
Vol 2 (2) ◽  
pp. 4-7
Author(s):  
A. Hapgood ◽  
S. jankowski ◽  
L. Vaughan ◽  
P. Hyslop
Keyword(s):  
Cardiac Surgery ◽  
Clinical Practice ◽  
Recovery Room ◽  
Clinical Audit ◽  
Hospital Staff ◽  
Clinical Governance ◽  
Nursing Profession ◽  
Hospital Level ◽  
Paediatric Cardiac Surgery

In view of recent events regarding paediatric cardiac surgery in Bristol, the medical and nursing profession have been encouraged to embrace clinical governance. Clinical governance ranges from departmental to hospital level and encourages all hospital staff to examine clinical practice by setting standards and measuring up to those standards. Clinical audit can help to achieve this aim

scholarly journals Don’t Be Afraid to Ask the Question: A Simple Guide for Veterinary Nurses to Conducting Evidence-Based Research in Clinical Practice

2017 ◽  
Vol 2 (1) ◽  
Author(s):  
Sue Badger ◽  
Andrea Jeffery
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Code Of Conduct ◽  
Clinical Governance ◽  
Evidence Based ◽  
The Past

The evolution of veterinary nursing over the past fifty years combined with the introduction of the RCVS Register and Code of Conduct means that RVN's are now accountable for their actions and as a result must develop the ability to critically appraise, both their own practice and the protocols of the organisation in which they work, as part of clinical governance. It is therefore important that they develop the tools which enable them to confidently question all aspects of their clinical practice, but especially patient care and welfare, where necessary.This is a podcast of Sue and Andrea's talk at the Veterinary Evidence Today conference, Edinburgh November 1, 2016.

Effects of age, gender, smoking and co-medication on the pharmacokinetics of venlafaxine and O-desmethylvenlafaxine in everyday clinical practice

2009 ◽  
Vol 42 (05) ◽  
Author(s):  
B Pfuhlmann ◽  
C Greiner ◽  
E Haen ◽  
P Riederer ◽  
J Deckert ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Everyday Clinical Practice

“Bridging Gaps – Improving Outcomes”: Problem domains in schizophrenia research, treatment and policy

2016 ◽  
Vol 13 (03) ◽  
pp. 118-120
Author(s):  
W. Wölwer ◽  
W. Gaebel ◽  
V. Toeller
Keyword(s):  
Clinical Practice ◽  
Mental Healthcare ◽  
Knowledge Gaps ◽  
Everyday Clinical Practice ◽  
Treatment Gaps ◽  
Different Types

Summary Background: The provision of mental healthcare for patients with schizophrenia is still characterized both by knowledge gaps and by treatment gaps in everyday clinical practice. Aim: This article discusses the different types of treatment gaps in schizophrenia and describes actions taken to overcome these gaps especially in Europe.

Role of implantable loop recorder in the clinical diagnosis of syncope: Results of the introduction of an effective diagnostic tool

2015 ◽  
Vol 156 (15) ◽  
pp. 609-613
Author(s):  
Miklós Somlói ◽  
Emil Toldy-Schedel ◽  
Zoltán Nényei ◽  
Róbert Böszörményi ◽  
János Tomcsányi
Keyword(s):  
Clinical Practice ◽  
Diagnostic Yield ◽  
Diagnostic Algorithm ◽  
Definitive Treatment ◽  
Implantable Loop Recorder ◽  
Everyday Clinical Practice ◽  
Loop Recorder ◽  
Early Application ◽  
Electrocardiographic Monitoring ◽  
The Everyday

Introduction: Extension of electrocardiographic monitoring via loop recorder implantation may increase the diagnostic yield of syncope work-up. Aim: In this retrospective observational study, the authors wanted to evaluate the diagnostic performance of implantable loop recorder in the everyday clinical practice. Method: The authors analyzed the electronically stored data of all patients who underwent loop recorder implantation between 2005 and 2014 in their cardiology department because of recurrent syncope of undetermined origin. Results: There were 52 loop recorder implantations within the study period. During the 167 (±136) days of monitoring, 36 (69.2%) diagnostic events occurred. In two-thirds of events, (46.2% of all monitored patients) a specific arrhythmia diagnosis was reached, allowing definitive treatment in these cases. In this selected population, there was no correlation between age, presence of known high-risk predictors, or accompanying trauma, and the mechanism of syncope. Conclusions: The high diagnostic rate of implantable loop recorder in the everyday clinical practice is in accordance with the findings in prospective clinical studies. This observation supports the early application of loop recorder in the diagnostic algorithm of syncope. Orv. Hetil., 2015, 156(15), 609–613.

IMPROVEMENT OF THE PATIENT CARE PROCESS BASED ON THE PRINCIPLES OF CLINICAL AUDIT

2020 ◽  
Vol 16 (72) ◽  
pp. 027
Author(s):  
А.О. Gavrilyuk ◽  
R.G. Zharlinska ◽  
А.А. Mishchuk ◽  
К.М. Vergeles ◽  
А.М. Berezovskyi ◽  
...  
Keyword(s):  
Patient Care ◽  
Clinical Audit ◽  
Care Process ◽  
Patient Care Process
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