Policies & Publications: Clinical Governance

Title Document Number Last Reviewed
Clinical Pathway Guideline SESLHDGL/037
Management of Complex Discharges / Escalation Guidelines SESLHDGL/053
Open Disclosure SESLHDGL/058
Paediatric Policies - Use in SESLHD SESLHDGL/064
Death Screening and Review SESLHDGL/071
Post Incident Bedside Safety Huddles and effective use of the HUDDLE UP tool SESLHDGL/072
Standard 5 Comprehensive Care - Guideline SESLHDGL/088
Maternity – identifying, reviewing and reporting trigger and critical clinical events SESLHDGL/095
Scope of clinical practice for non-specialist doctors SESLHDGL/103
Audiovisual recording of staff and patients in community care settings SESLHDGL/104
Guide for issuing an “Inability to Treat Notice” to violent patients SESLHDGL/110
Framework for Governance of Policy Documents in SESLHD SESLHDHB/019
Complaint Handling Framework SESLHDHB/026
New or altered interventional procedures, technologies including devices, implants, point of care (POC) diagnostic machines and treatments – safe introduction into clinical practice SESLHDPD/286
Photography and Recording of Patients SESLHDPD/327
Discharge Summary Completion Standards SESLHDPR/223
Management of Deteriorating PAEDIATRIC Inpatient SESLHDPR/284
Medicine: Management of Refrigerated Storage of Medicines and Vaccinations in Clinical Areas SESLHDPR/300
Clinical Handover: Implementation of ISBAR Framework and Key Standard Principles SESLHDPR/303
Product – Clinical Product Notices, Recalls and Safety Alerts SESLHDPR/319
SAER Recommendations Compliance Monitoring SESLHDPR/320
Management of the Deteriorating NEONATAL Inpatient SESLHDPR/340
Infection Prevention and Control during construction, renovation or maintenance SESLHDPR/374
Reporting of Clinical Product Faults/Quality Issues SESLHDPR/419
Assessment and Management of Serious Incidents SESLHDPR/549
Companion and Assistance Animals in Healthcare Facilities SESLHDPR/590
Managing Complaints and Concerns about Clinicians (MCCC) SESLHDPR/640
Governance of Powered Air-Purifying Respirators (PAPRs) or Elastomeric Respirators SESLHDPR/688
Management of the Deteriorating ADULT inpatient (excluding maternity) SESLHDPR/697
Management of the deteriorating MATERNITY woman SESLHDPR/705
Caring for COVID positive patients in the community SESLHDPR/721
Medication - Safety Alerts, Notices and Information SESLHDPR/724
Systemic review of clinical practice or lookback process for clinicians of concern SESLHDPR/746
Use of mesh in sacrocolpopexy and related procedures SESLHDPR/747