aPPENDIX 5 rEVIEW AND MONITORING ADHERANCE TO GUIDELINES – Lead Tool Frequency Reporting Acting on Change in Arrangements recommendations practice and and Lead(s) lessons to be shared Adherence All Health DATIX Quarterly Quarterly Depending on Directorate to this Care Incident Aggregated Report Compliance, outcome Risk guideline Professionals Reporting of Incidents to the and clinical or Management through System Clinical Quality operational area Groups – actual and Safety and Patient Director Lead or near miss Experience Manager assigned. incident Committee reporting Inpatient Alison Audit Every 6 Report to Depending on audit Waldron months Directorate outcome Lead – Consultant will act
Lead Tool Frequency Reporting Arrangements Acting on recommendations and Lead(s) Change in practice and lessons to be shared Adherence to this guideline through actual and near miss incident reporting All Health Care Professionals DATIX Incident Reporting System Quarterly Quarterly Aggregated Report of Incidents to the Clinical Quality Safety and Patient Experience Committee Depending on Compliance, outcome and clinical or operational area – Director Lead or Manager assigned. Directorate Risk Management Groups Inpatient audit Alison Waldron Audit Every 6 months Report to Directorate Depending on outcome – Lead Consultant will act aPPENDIX 5 – rEVIEW AND MONITORING ADHERANCE TO GUIDELINES
Guideline%20-%20swallowing%20ACE%20Jan%202015.docx