Clinical governance and audit competences

Details

Title

Clinical governance and audit competences

Type

Stage One

Module code

HLS006

Requirement

Compulsory

Module objective

By the end of the training period trainees will, in respect of accountability, quality improvement programmes, clinical audit, evidence-based practice, clinical standards and guidelines, managing risk and quality assurance programmes, be able to:

• analyse, synthesise, evaluate and apply knowledge
• perform a range of technical and clinical skills and procedures
• demonstrate the attitudes and behaviours necessary for professional practice as a consultant clinical scientist dealing with the complexities, uncertainties and tensions of professional practice at this level.

Knowledge and understanding

By the end of the training period the trainee will be able to demonstrate the ability to analyse, evaluate and synthesise relevant knowledge and its application to their professional practice in relation to:

• the principles of clinical governance
• how to set up investigative protocols
• how to judge service quality
• what accountability means
• how risk assessment is carried out
• writing a report on an adverse event
• recalling a protocol for investigating a common condition
• how to analyse data for turnaround time
• how to analyse a complaint
• the concept of systematic reviews
• the audit cycle
• recalling an instance of a clinical audit in which you participated
• the principles of clinical governance, clinical risk management
• departmental organisation
• the principles of development and assessment of service quality
• the principles of clinical audit
• clinical effectiveness and audit including the concept of systematic reviews and evidence-based medicine, the role of audit in the hospital, and the audit cycle
• participation in regular clinical audit, within and between departments, at the interface with primary care and at regional level.

Technical and clinical skills

By the end of the training period the trainee will be able to demonstrate a critical understanding of current relevant research, theory and knowledge and its application to the performance of the following technical procedures and laboratory skills:

• the roles, responsibility and accountability in your laboratory
• how a risk that was identified in your laboratory was managed
• how risk assessment is undertaken.
• lines of responsibility and accountability in laboratory medicine
• communications within and outside the department
• how to monitor/report adverse events
• present a report about an adverse event that occurred in your laboratory
• turnaround time and describe how to measure it
• analysis of a complaint with lessons learnt and action taken
• present a summary of an audit that you have undertaken and how the audit cycle was/could have been closed
• an instance of a clinical audit in which you participated
• how workload can be compared with national standards
• agreed protocols for investigations of common conditions.
• how to measure turnaround time
• how out-of-hours service should be provided
• clinical effectiveness, the role of clinical audit in achieving this, and methods of clinical audit in healthcare.
• an audit at multidisciplinary audit meetings and the follow up
• how audit is used to gather evidence provided by formal review of practices and clinical performance and ensure that quality requirements and the needs of governance are being metlines of responsibility and accountability in laboratory medicine
• participation in regular clinical audit, within and between departments, at the interface with primary care and at regional level.