| One model of healthcare provision lessons learnt through clinical governance. | |
| | |
MedLine Citation:
|
PMID: 20851355 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
AIM: Clinical Governance describes a systematic approach to maintaining and improving the quality of patient care. Risk management includes a themes analysis of clinical incidents and positive interventions with the resulting information disseminated to staff through personal performance plans, and publication and development training workshops. Our model of healthcare provision utilises doctors, nurses and paramedics to assess individuals in custody and this paper discusses the implementation of clinical risk management within this setting. METHOD: A description of the model of healthcare provision, together with a themes analysis was undertaken for all clinical incidents received by the clinical team. Each incident receives an individual response and is discussed within the clinical risk management committee. From the review of each event, learning outcomes are identified and the information captured on a database. The information is analysed for reoccurring themes and further measures are introduced to ensure a high standard of healthcare provision to all counties. FINDINGS: Of the 86,184 patient/detainee episodes from 11 county forces, from January 2009-December 2009, 159 clinical incidents and positive interventions were generated. These were categorised into Clinical Near Misses--39, Prescribing issues--38, Health and Safety matters--13, Organisational matters--23, Positive Interventions--21 and Professional issues--25. CONCLUSION: Risk management, with a regular review of clinical incidents is an essential part of clinical governance especially when working in a multidisciplinary team providing safe and effective custody healthcare. This analysis contributes to the knowledge base in clinical forensic medicine and supports the importance of identifying educational requirements for staff, working in a multiagency partnership and continuous monitoring of the quality of care for detainees. |
| | |
Authors:
|
Vanessa Webb; Margaret Stark; Adam Cutts; Steve Tait; Jerry Randle; Gary Green |
Related Documents
:
|
22168925 - Bridging evidence and consensus methodology for inherited metabolic disorders: creating... 10105075 - Clinical psychology and general managers. 15736835 - The pda and the oral maxillofacial surgeon. 7329365 - A method of evaluating opportunistic teaching in clinical medicine. 21285705 - Use of 'chronic disease self-management strategies' in mental healthcare. 739465 - Difficulties in consultations reported by doctors in general practice. |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-07-14 |
Journal Detail:
|
Title: Journal of forensic and legal medicine Volume: 17 ISSN: 1878-7487 ISO Abbreviation: J Forensic Leg Med Publication Date: 2010 Oct |
Date Detail:
|
Created Date: 2010-09-20 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101300022 Medline TA: J Forensic Leg Med Country: England |
Other Details:
|
Languages: eng Pagination: 368-73 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved. |
Affiliation:
|
G4S Forensic Medical Services Limited, Units 6-8 The Bardfield Centre, Great Bardfield, Braintree, Essex CM7 4SL, UK. vanessa.webb1@btinternet.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Dental age estimation in Egyptian children, comparison between two methods.
Next Document: The socio-demographic profile of hanging suicides in Ireland from 1980 to 2005.