Clinical governance and pathology
[2023-10-17 11:51:18]
We recently witnessed a major change in the new National Health Service (NHS). Changes from focusing on activities, fiscal goals, competition to change to pursue quality improvement in a joint framework have changed 1-3 This change is mainly due to clinical rule, which is the statutory obligation of the NHS as a whole .
It is difficult to determine the definition of quality, but it can be considered as "to do the right things for the right people and to do the appropriate things at the right time" 4. Excellent clinical care prosper in the environment, NHS organizations are responsible for continuously improving the quality of service and guaranteeing high standards of medical services. 5 This can also be rewritten as "securing and improving regional clinical standards of NHS overall". This includes actions to ensure risk aversion, rapid discovery of adverse events and public investigation, and lessons learned. In order to ensure continued improvement of clinical practice, good practices should be fully disseminated and the system should be established.
The concept of clinical governance has been established in the government's white paper "NHS: Modern and Reliable." Here we outline how the NHS organization is responsible for improving the quality of patient care.
Clinical governance has various aspects such as quality improvement activities, risk identification and management, personal responsibility, continuous professional development. The Clinical Governance Report of the World Health Organization effectively divides these quality issues into four major areas.
A nationwide service framework has been established to determine the quality of care for various health conditions. One is established annually, first for heart disease in 1999, Elderly care in 2000, Diabetes in 2001. There are two external institutions, CHI (MP) and NICE, which are responsible for strengthening and promoting the pursuit of this quality.
In France, pathology is divided into two different occupations, anatomical pathology and clinical pathology. Accommodation for 2 people lasts 4 years. The right to reside in anatomical pathology is open only to doctors and clinical pathology is open to both doctors and pharmacists. Clinicopathology At the end of the second year of hospitalization, residents can choose one of general clinical pathology and field, but both practicing anatomical pathology and dissecting pathology can not.
The pathologist has achieved the highest level in these areas as it has passed anatomical pathology (AP), clinical pathology (CP or clinical examination), or anatomy and clinical pathology (AP / CP) certification It is. Ability to become a professional board. The American Pathologist Committee (ABP) received the committee's approval for the following sub-disciplines in anatomical pathology: cell pathology, dermatology (skin disease), forensic pathology (focus on causes and causes ), Neuropathology (central nervous system, muscle) (nerve) and pediatric pathology (pediatric related disease)
The process of the disease underlying clinical medicine. It covers five major sections: cytopathology, inflammation, vascular pathology, genetics / developmental pathology / aging and tumorigenesis. Of course, its aim is to introduce and explain terms of key human disease processes, macroscopic pathology, pathological histology, etiology, etiology and clinical significance. The pathogenesis of infectious diseases and immune and natural barriers The management of microbiology, epidemiology, clinical manifestations and representative bacterial, fungal, parasitic and viral infections. Principles of chemotherapy and chemotherapy Sterilization, sterile, in-hospital and iatrogenic infections and their results