Patient complaints in There is analysis and action in relation to Complaints policy and procedure Document review Onsite IA the Service/Unit are Service/Unit complaints Analysis of complaints process effectiveness (timeliness resolved within and resolution) Staff Interview Timely response to complaints organisational Majority of complaints resolved timelines Open disclosure policy understood by staff Staff are aware of the organisation’s open disclosure process INFRASTRUCTURE IT systems support A functional electronic patient A safe effective data system that allows: Staff Interview Onsite Clinical recording and information management system that Expert Timely reporting of Clinical Expert data reporting on key data enables data reporting in Service/Unit Data presented in a format that enables analysis e.g. trends Secure system with password protection and timeout The financial resources A departmental budget is linked to the Service/Unit budget with links to unit operational plan Document review IA Offsite of the Service/Unit Service/Unit operational plan (which and organisational strategy are managed aligns with the organisation’s strategic appropriately plan) The infrastructure There is an equipment maintenance Equipment such as: Document review Onsite IA+ resources of the register that is current Clinical resuscitation Service/Unit are Expert monitoring(ECG, BP, ) managed appropriately Equipment appropriate to the Staff interview Onsite Clinical service is available when needed Expert
Patient complaints in the Service/Unit are resolved within organisational timelines There is analysis and action in relation to Service/Unit complaints Timely response to complaints Majority of complaints resolved Staff are aware of the organisation’s open disclosure process Complaints policy and procedure Analysis of complaints process effectiveness (timeliness and resolution) Open disclosure policy understood by staff Document review Staff Interview Onsite IA INFRASTRUCTURE IT systems support recording and reporting on key data A functional electronic patient information management system that enables data reporting in Service/Unit A safe effective data system that allows: Timely reporting of Clinical Expert data Data presented in a format that enables analysis e.g. trends Secure system with password protection and timeout Staff Interview Onsite Clinical Expert The financial resources of the Service/Unit are managed appropriately A departmental budget is linked to the Service/Unit operational plan (which aligns with the organisation’s strategic plan) Service/Unit budget with links to unit operational plan and organisational strategy Document review Offsite IA The infrastructure resources of the Service/Unit are managed appropriately There is an equipment maintenance register that is current Equipment such as: resuscitation monitoring(ECG, BP, ) Document review Onsite IA+ Clinical Expert Equipment appropriate to the service is available when needed Staff interview Onsite Clinical Expert
vmia-generic-internal-clinical-audit-tool-iact-d17-46220.docx