Clinical Governance” is a system that is put in order to continue improving the quality of the services of NHS organizations and ensuring a high standard of care is provided to the patient and that standards of care are maintained and improved. Simply, it is about how to improve quality of the services of healthcare providers to the patients and ensure continuous improvement of the quality of services.
Clinical governance aims to ensure that patients get the required care from the right person. Pharmacists must employ clinical governance appropriately as their principal goal is to achieve positive outcomes from the use of medications and provide the patients with high quality and effective services. By team working, they ensure that patients have received the best care. I learnt that clinical governance can be divided into ‘seven pillars’ which include the clinical audit, risk management, clinical effectiveness, staffing and staff management, information governance, patient and public involvement.
Clinical audit is the key activity for the maintenance and improvement of patient care as it allows healthcare providers to measure the quality of care they offer and comparing it to a standard. This allows them to improve their services. Risk management includes having systems in order to monitor and minimize and reduce risks of error. Pharmacists must be able to admit the made mistakes and the important thing is to learn from them to improve their skills and avoid repeating it. Clinical effectiveness means ensuring that everything done is done for providing best outcomes for the patient. This can include the advices that the pharmacists give to patients, and identifying and solving the problems of the patients. Staffing and staff management has an important role in clinical governance as having highly skilled staff working in a well-supported environment will help in providing a high quality of services and cares and minimizes risks. Healthcare staff must have good knowledge and skills to work effectively. Pharmacist should provide the appropriate medication for the patient and they are the leading efforts to provide patients safety related to medication. Patient and public involvement allow public to give their opinions on the health services that they are provided to and to ensure that services are in continuous improvement. Pharmacies have to verify the quality of their services that are given to the patients by reviewing surveys and questionnaires.
The seven pillars should be applied to ensure providing high services to patients. It is the responsibility of every member of healthcare providers including doctors, nurses, and pharmacists. I learnt that it is vital for a professional pharmacist to monitor patients’ care, and they must keep knowledge and skills up to date as pharmacists are accountable for the standard of advice provided to patients. The principle which I believe it is the most important is risk management. This is because risk management it is related to patients’ safety as it aims to reduce health risks to patients. Risk management allows pharmacists to reduce errors that might occur from drugs. The reason behind this is pharmacists deal with patients and different types of drugs which can be similar in names or packaging. Patients might be given wrong medication because of the drugs’ similarities which has harmful consequences that could threaten the lives of patients.
Pharmacist should have a solid understanding of drugs and the appropriate dose for different patients’ ages, communication and listening skills to be able to speak with patients and as well as listen to patients and respond to their concerns, use clinical governance principles routinely to offer best services, learn from their previous mistakes and share ideas and knowledge with colleagues.