Staff culture in the Workforce Culture at the Service/Unit Workforce culture evaluation and analysis may include : Offsite Offsite/Onsite IA Service/Unit is at an level is assessed, analysed and Staff satisfaction evaluation and analysis for Document review acceptable level responded to Service/Unit sick leave rate analysis for Service/Unit turnover rate analysis for Service/Unit RISK MANAGEMENT Risk identification and The Service/Unit undertakes the Risk profile or register for Service/Unit includes clinical Review risk register Onsite IA assessment occurrs identification and analysis of risks risks regularly (including clinical) A risk based methodology is applied Applications for use of new equipment/procedures with Staff interview. Onsite IA+ to the approval of new procedures evidence that a risk assessment has been undertaken Document review Clinical and equipment, within the Expert Service/Unit Monitoring of risk Service/Unit risks that have been Document review IA Onsite occurs regularly identified as requiring action have assoIACTed action plans with strategies for risk reduction, timelines and responsibilities Risk rating of identified Service/Unit Risk register shows progression of risk management Document review IA Onsite risks changing over time (mitigating) Service/Unit Risk escalation is Evidence if risk escalation to appropriate position Document review Onsite IA consistent with the organisation’s risk management framework
Staff culture in the Service/Unit is at an acceptable level Workforce Culture at the Service/Unit level is assessed, analysed and responded to Workforce culture evaluation and analysis may include : Staff satisfaction evaluation and analysis for Service/Unit sick leave rate analysis for Service/Unit turnover rate analysis for Service/Unit Offsite Document review Offsite/Onsite IA RISK MANAGEMENT Risk identification and assessment occurrs regularly The Service/Unit undertakes the identification and analysis of risks (including clinical) Risk profile or register for Service/Unit includes clinical risks Review risk register Onsite IA A risk based methodology is applied to the approval of new procedures and equipment, within the Service/Unit Applications for use of new equipment/procedures with evidence that a risk assessment has been undertaken Staff interview. Document review Onsite IA+ Clinical Expert Monitoring of risk occurs regularly Service/Unit risks that have been identified as requiring action have assoIACTed action plans with strategies for risk reduction, timelines and responsibilities Document review Onsite IA Risk rating of identified Service/Unit risks changing over time (mitigating) Risk register shows progression of risk management Document review Onsite IA Service/Unit Risk escalation is consistent with the organisation’s risk management framework Evidence if risk escalation to appropriate position Document review Onsite IA
vmia-generic-internal-clinical-audit-tool-iact-d17-46220.docx