Information Law and governance in clinical practice 1.pptx

Information Law and governance in clinical practice 1.pptx

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  Information Law andgovernance in clinical practice Mrs Supriya Batwalkar
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  Clinical governance  Clinicalgovernance is a systematic and integrated approach to ensuring that service providers are accountable for delivering quality healthcare.
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  7 pillars ofclinical governance
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  Education and training It is no longer considered acceptable for any clinician to abstain from continuing education after qualification – too much of what is learned during training becomes quickly outdated.  In Maharashtra nursing, the continuing professional development (CPD) of nurses has been the responsibility of the MNC and it has also been the professional duty of nurses to remain up-to-date.
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  Clinical audit Clinical auditis the review of clinical performance, the refining of clinical practice as a result and the measurement of performance against agreed standards – a cyclical process of improving the quality of clinical care. In one form or another, audit has been part of good clinical practice for generations.
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  Clinical effectiveness  Clinicaleffectiveness is a measure of the extent to which a particular intervention works.  The measure on its own is useful, but decisions are enhanced by considering additional factors, such as whether the intervention is appropriate and whether it represents value for money.  In the modern health service, clinical practice needs to be refined in the light of emerging evidence of effectiveness but also has to consider aspects of efficiency and safety from the perspective of the individual patient and careers in the wider community.
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  Research and development A good professional practice is to always seek to change in the light of evidence-led research.The time lag for introducing such change can be substantial, thus reducing the time lag and associated morbidity requires emphasis not only on carrying out research but also on efficiently implementing said research.  Techniques such as critical appraisal of the literature, project management and the development of guidelines, protocols and implementation strategies are all tools for promoting the implementation of research practice.
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  Openness  Poor performanceand poor practice can too often thrive behind closed doors.  Processes which are open to public scrutiny, while respecting individual patient and practitioner confidentiality, and which can be justified openly, are an essential part of quality assurance.  Open proceedings and discussion about clinical governance issues should be a feature of the framework.
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  Risk management  Riskmanagement involves consideration of the following components:  Risks to patients  Risks to practitioners  Risks to the organisation
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  Risks to patients compliance with statutory regulations can help to minimize risks to patients.  In addition, patient risks can be minimized by ensuring that systems are regularly reviewed and questioned – for example, by critical event audit and learning from complaints.  Medical & Nursing ethical standards are also a key factor in maintaining patient and public safety and well-being.
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  Risks to practitioners ensuring that healthcare professionals are immunized against infectious diseases, working in a safe environment (e.g. safety in acute mental health units, promoting an anti-harassment culture) and are kept up-to-date on important parts of quality assurance.  Furthermore, keeping healthcare professionals up to date with guidelines such as fire safety, basic life support (BLS) and local trust updates is also important, these can be annually or more frequent depending on risk stratification.
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  Risks to theorganization  poor quality is a threat to any organization.  In addition to reducing risks to patients and practitioners, organizations need to reduce their own risks by ensuring high quality employment practice (including locum procedures and reviews of individual and team performance), a safe environment (including estates and privacy), and well designed policies on public involvement.
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  Clinical governance –howit occurs Medical /nursing standards/guideli nes Best practices Patient care Compare IT records with guidelines Review and revise care and guidelines
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  Benefits of ClinicalGovernance Provision of high quality of health care services Promoting patient outcomes Reduces medication errors, infection rates, adverse events Reduces overall cost Promotes patient safety Enhances communication between professionals
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   Information technologylaw provides the legal framework for collecting, storing, and disseminating electronic information in the global marketplace.