In this video we will take a closer look at key indicators from section three of the RACGP Standards for general practice, 4th edition.
This section has 2 standards including: Safety and Quality, and Education and training.
Remember some of indicators have a triangle, which represents it is required, and those without a triangle, are recommended, but not essential in order to successfully gain an ‘accredited’ status.
The key criterion and indicators worth a special mention as part of this section include:
Criterion 3.1.1 Quality improvement activities. As part of this indicator you may need to describe aspects of your practice that have improved in the past three years.
Criterion 3.1.2 Clinical risk management systems. Surveyours will want to see that you regularly monitor, identify and report near misses and mistakes in clinical care. You must keep a record of these events so they may be discussed and addressed with practice staff in order to prevent re-occurrence or adverse outcomes. A near miss is usually an event which could have resulted in a serious adverse outcome, but that luckily didn’t escalate to that point. Examples could be pathology requests, scripts or referrals written for the wrong patient if there are two patients with similar names in the database, or a sharp being left unattended, but where no sharps injury took place, or even a frustrated patient escalating to the point of potential aggression or verbal abuse.
The practice should also put in place a contingency plan for adverse and unexpected events such as natural disasters, pandemic diseases or the sudden, unexpected absence of clinical staff. There are templates available to assist with this as part of the resources guide.
Criterion 3.1.4 Patient identification. It is important that the practice uses a patient identification process of three approved patient identifiers and that the practice team can describe how this is applied when making appointments, writing prescriptions, writing referrals to other providers, giving results or entering results or correspondence into records. The most common and least obtrusive identifiers are patient name, date of birth and address.
Criterion 3.2.1 Qualifications of general practitioners. You will be required to provide evidence of appropriate current medical registration. For recognised GPs you will need to produce a VR status confirmation letter which can be obtained from Medicare. You must also collect evidence of satisfactory participation in the RACGP QI&CPD Program from all the GPs and that they have completed training in cardiopulmonary resuscitation (CPR) in accordance with RACGP QI&CPD recommendations.
Criterion 3.2.2 Qualifications of clinical staff other than medical practitioners. You must also make sure nurses and allied health professionals have:
current registration, that they’re working within their scope of practice and that they participate in continuing professional development or CPD. They must also have undertaken training in CPR within the previous 3 years.
Criterion 3.2.3 Training of administrative staff. For practice staff, you must have evidence of training relevant to their role in the practice. Again.. the staff training sheets are a great resource for this. Admin staff must also have CPR training at least every 3 years.
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