Clinical Guardian is both a methodology used in the routine audit of clinical consultations and the software to facilitate the process. In the 2-stage peer review process, the Stage 1- Individual Audit refers cases for deeper scrutiny to the Stage 2 - Group Review.
The key principle of Clinical Guardian is spotting issues early, so an appropriate response can be implemented before harm is caused.
Panning for Gold
The first stage involves an experienced Clinician reviewing a large number of cases rapidly to identify those which might need further evaluation. This process is undertaken by an individual clinical auditor and should take no longer than 30-90 seconds per case. The objective at this stage is to identify the small numbers of cases which might give rise to concern. Whilst most clinicians perform consistently to a very high clinical standard most of the time, rare problems encountered maybe either 'behavioural' , 'clinical' or 'service' related.
- Trained clinical auditors working alone
- Audit from anywhere
- Quickly review a large number of case records
- Pass or Refer for another opinion
- Provide comments to the Governance Team
Processing the Gold
The weekly Group Review can immediately engage in the important cases that need their attention. A governance meeting requires a minimum of 3 auditors to be quorate. This is to avoid any negative feedback being sent from an individual. There is a group login screen which requires the usernames and passwords of two additional auditors before the session can begin, but the team do not need to be physically co-located.
- Early attention to concerns
- Build a rapport with Clinicians
- Give positive feedback
- Spot organisational issues
- Efficient remote working
- Adjust risk profiles