Transcript Slide 1

Teaching Clinical Governance
Miss Claire Young
Associate Clinical Tutor
Mrs Liz Klein
Lead Medical Clinical Educator
NCUH
Background
• Difficult subject matter to teach
– Wide ranging
– Perceived as “boring”
• Mortality Review
– Common themes
– Learning points
• Keogh Review
Problem
• Clinical Governance Elements
– Education & Training
– Clinical Audit
– Clinical Effectiveness
– Research & Development
– Openness
– Risk Management
Solution
• Develop an Interactive Programme
– Risk management
– Learning lessons
Case Notes
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Individual notes identified
Notes rewritten as teaching material
All entries and Patient details anonymised
Test results and ECGs copied
• “training case note” files created
• Library of notes created
Training Forum
• Note Review
• Training notes analysed
• Learning points identified
Training forum
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Small groups
Allocated set of training notes
Critique of notes (entries and care received)
Feedback to group
Learning points identified by individuals
Feedback
Trainee Learning Points
• “Speak to F1s on-call about appropriate senior review, use
ABCDE as written in notes, I usually write MEWS score and
obs.”
• “Made aware of common areas where problems can occur –
good to be put in the position to review from outside
perspective”
• “Not to use (ii) on drug charts, always be systematic and
follow ABCDE approach”
• “Ensure documentation is extremely thorough, document any
changes of drugs in notes and kardex and document in d/c
letter so GP can continue care appropriately.
• “Record keeping, know limitations and escalate the care.”
The Future
• Increase library of notes
• Introduce to FY1
• Aid FY to learn from their and their peers’
mistakes