While attempting the MRCOG examination, candidates face many questions pertaining to the topic clinical governance. So candidates must have thorough knowledge about the same.
It was defined by the Department of Health as:
“A framework through which NHS organisations are accountable for continuously improving the quality of their services and safe guarding high standards of care by creating an environment in which excellence in clinical care will flourish.”
There are six elements of clinical governance which includes:
It was defined by the Department of Health as:
“A framework through which NHS organisations are accountable for continuously improving the quality of their services and safe guarding high standards of care by creating an environment in which excellence in clinical care will flourish.”
There are six elements of clinical governance which includes:
- Practice of evidence-based medicine and effectiveness
- Research and development
- Risk management
- Clinical audit
- Education, training and continuing professional development
- Openness or accountability.
1. Practice of evidence-based medicine and effectiveness: It aims at integrating individual clinical expertise with the best available external clinical evidence from systematic research in form of well-designed and conducted research trials.
The practice of evidence-based medicine comprises of the following steps:
- Asking the right question
- Searching for best evidence
- Appraising the evidence for its validity
- Acting on the basis of findings associated with evidence
- Evaluating the clinical practice and efficacy of the above steps through the process of audit.
2. Research and development: Evidences that are emerging from research are adopted by the good professional practice. Different types of trials or research studies in clinical practice are as follows:
- Double-blind trials
- Single-blind trial
- Randomised controlled trials
- Case-control study
- Cross-sectional studies
- Open study
- Cohort studies
- Meta-analysis
3. Risk Management: The concept of risk management is based on the following strategies:
- Identification, characterisation and assessment of potential threats
- Assessment of the vulnerability of critical assets to specific threats
- Determining the risk
- Identifying ways to reduce those risks
- Prioritising risk reduction measures
4. Clinical audit: Audit is the process of quality improvement of the healthcare services, thereby improving the overall quality of life. It aims at improving the patient care and outcome by assessing, evaluating and improving the care of the patients. It evaluates one or more of the following domains:
- structure of care
- process of care
- outcome of care
5. Education, training and continuing professional development: Importance of training, education and continuing professional development in the speciality of obstetrics and gynaecology as significant causes of the maternity claims have been mistakes in the interpretation of fetal heart, mistakes in the management of labour, prevention of cerebral palsy etc.
6. Openness or accountability: Accountability is based on five core principles:
- Responsibility
- Explainability
- Accuracy
- Auditability
- Fairness.
Jaypee Brothers Medical Publishers organises a course regarding MRCOG exam. The course includes webinars on various significant topics. The upcoming webinar is on the “Clinical Governance” that will be organized on March 30, 2019.
For further information regarding the course, please visit our website www.crackingmrcog.com
For More Information:
Email: crackingmrcog@jaypeebrothers.com
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