Clinical governance

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The public is increasingly questioning the competence of medical practitioners and demanding evidence of good practice, rather than just relying on professional qualifications as a guarantee, and this is spilling over into veterinary practice. This chapter includes evidence-based veterinary medicine and ‘best practice', and clinical audit.

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28.1 Hierarchy of evidence. RCTs = randomized clinical trials (Adapted from )
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28.2 Clinical effectiveness is an important component of clinical governance and, in turn, incorporates clinical audit as a tool.
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28.5 Work colleagues offering constructive criticism is an important aspect of peer review.
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28.6 When a patient is under general anaesthesia, strict monitoring and recording protocols must be followed at all times, with clear lines of responsibility that are understood by the clinical team.
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28.7 Regular practice meetings can act as a forum for clinical staff to discuss cases.
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28.9 Sharing knowledge within the practice team is a vital part of clinical governance.
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28.10 The clinical audit cycle. The key components can best be visualized schematically as a positive feedback loop.


Examples of practice policy, clinical audit and critical accident report

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