establish a system so that practitioners talk to trusted peers or supervisors for advice use a more formal process that includes conducting practice discussions about what went wrong and how to reduce the likelihood of it happening again use structured techniques to analyse the causes of an error and reduce the likelihood of its reoccurrence establish a system so that members of the practice team know how and to whom to report a near miss, or unanticipated adverse outcome, and that they can do so without fear of recrimination implement a clinical governance framework to help achieve a balance of it, fix it and ‘find confirm it’ functions in relation to improving the quality and safety of care... Find it: use tools such as clinical audits and performance indicators to identify where quality improvement programs could affect the quality of care delivered and improve patient health outcomes Fix it: once the gaps in quality care have been identified, you can implement strategies to address the Confirm it: measure the improvement using an effective evaluation process. Keep copies of the practice’s risk or critical incident register. Practices may want to have their Medical Defence Organisation (MDO) check and approve their process for recording and acting on near misses, errors and adverse events. Practitioners are increasingly referred to as victims’ of adverse events as they may feel ‘second that they have failed the patient[5]. This can lead to practitioners second-guessing their clinical judgement, knowledge. Practices could consider how they support practitioners after an adverse-event has occurred. Demonstrating how you meet this Criterion The following table contains ways for your practice to demonstrate how you meet the requirements of this Criterion. Items listed in red are mandatory to meet this Criterion. listed in black are optional to meet this Criterion. QI3.1► A Implement and maintain a clinical risk-management policy. Implement and maintain an incident or event register. Show that you conduct clinical audits demonstrating changes to clinical care that have reduced risk.
establish a system so that practitioners talk to trusted peers or supervisors for advice use a more formal process that includes conducting practice discussions about what went wrong and how to reduce the likelihood of it happening again use structured techniques to analyse the causes of an error and reduce the likelihood of its reoccurrence establish a system so that members of the practice team know how and to whom to report a near miss, or unanticipated adverse outcome, and that they can do so without fear of recrimination implement a clinical governance framework to help achieve a balance of ‘find it, fix it and confirm it’ functions in relation to improving the quality and safety of care... Find it: use tools such as clinical audits and performance indicators to identify where quality improvement programs could affect the quality of care delivered and improve patient health outcomes Fix it: once the gaps in quality care have been identified, you can implement strategies to address the Confirm it: measure the improvement using an effective evaluation process. Keep copies of the practice’s risk or critical incident register. Practices may want to have their Medical Defence Organisation (MDO) check and approve their process for recording and acting on near misses, errors and adverse events. Practitioners are increasingly referred to as ‘second victims’ of adverse events as they may feel that they have failed the patient[5]. This can lead to practitioners second-guessing their clinical judgement, knowledge. Practices could consider how they support practitioners after an adverse-event has occurred. Demonstrating how you meet this Criterion The following table contains ways for your practice to demonstrate how you meet the requirements of this Criterion. Items listed in red are mandatory to meet this Criterion. listed in black are optional to meet this Criterion. QI3.1► A Implement and maintain a clinical risk-management policy. Implement and maintain an incident or event register. Show that you conduct clinical audits demonstrating changes to clinical care that have reduced risk.
Second-draft-RACGP-Standards-for-general-practices-5th-edition.DOCX