Clinical governance is the system through which your organisation is accountable for continuously improving the quality of services and high standards of care. Clinical governance was born out of the need for real accountability for the safe delivery of services. It was described in the BMJ as:
“A framework through which organisations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellent clinical care will flourish."
The Faculty of Pre-Hospital Care, Royal College of Surgeons Edinburgh state that any organisation or individual providing care above First Aid at Work must be operating within a framework of Clinical Governance and CPD. This includes Levels C through to H on the Pre-Hospital Emergency Medicine (PHEM) skills framework.
The issue of clinical governance will be a daunting task for any clinical care provider and below is a list of steps that are undertaken by us:
Formation of clinical governance committee including:
- Medical Director
- Senior Operational Staff
- Senior Training Staff
The clinical governance committee will be responsible for the following tasks:-
- Clinical Audit
- Training and Education
- Critical Incident Reporting
- Equipment selection
- Risk Management
Trauma and Resuscitation services can provide not only a Medical Director but also a robust clinical governance framework and assist with the formation of your organisation's clinical governance committee. The Medical Director will also be available for advice and support both operationally and theoretically.
The Trauma Resus Model of Clinical Quality Improvement
- Risk Analysis and Reduction Strategy - In the first instance, Trauma Resus will focus on the risk assessment for providing enhanced medical care and how these risks can be reduced through training, development and accountability. Trauma Resus can also work with the client organisation to reduce risks to the wider community, and will collaborate on projects where it is felt that Trauma Resus could add value from a medical perspective.
- Training Schedule – This document will become the ‘road map’ for training, detailing what candidates are attending which training and where. It will deal with initial training, re-qualifications and the maintenance of skills schedule
- Equipment List and Purchasing Time Frame – Based on the current inventory, Trauma Resus will work with the client to identify and procure the best and correct equipment for both IEC training and live situations. We will also help you to obtain relevant Prescription Only Medicines.
All this information will be brought together to create the Clinical Governance Strategy document. Typically this is a physical document stored at each location, but is also available online at any time. Along with all the information listed above, it will include Trauma Resus policies for:
- Training records
- Patient records
- Equipment logs