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Medical Record Analysis


The Southern Endoscopy Centre has developed a Clinical Governance Framework covering four major areas of organisational performance including:

1. Clinical Risk Management (making sure our services are safe and minimising risk of error)

  • Our culture promotes and encourages staff to report incidents, risks and near misses;

  • Incident Management policy outlines the process for assessing and investigating incidents;

  • Clinical policies are developed in accordance with evidence based best practice.

2. Clinical Effectiveness (making sure that the clinical services we provide are effective)

  • Quality plans are initiated when significant issues are raised;

  • Serious clinical incidents are reported and investigated;

  • Quality performance and safety issues are reported to the Medical Advisory Committee and Board of Governance;

  • We meet the standards for accreditation by ISO and NSQHS standards.

3. Effective Workforce (making sure our staff are competent and up-to-date)

  • Ensuring a strict process for checking credentials, registration and scope of practice for all clinical disciplines;

  • Targeted education and competency requirements in all clinical areas;

  • Staff are orientated and updated on quality and risk systems.

4. Consumer Participates (involving our patients and carers in their care)

  • Consumer complaints and feedback processes are managed in a timely fashion;

  • Consumer feedback from patient satisfaction surveys informs strategic and business planning;

  • Consumer participate and partner in improving patient experiences and health outcomes;

  • Open disclosure between clinicians and consumers is actively promoted when things don't go to plan.

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