Key question: effective?
Population group: All groups
This example relates to Key Line of Enquiry (KLOE) E5: Do staff have all the information they need to deliver effective care and treatment to people who use services?
And KLOE E7: Do staff use every opportunity to identify risks to people’s health?
When we inspected
We were told that the practice manager confirmed that pathology results were all checked and actioned daily. However, we found that 57 pathology results had not been checked in the preceding two days and that 12 of the 57 unactioned results showed abnormalities.
Why this is inadequate?
Despite being informed that there was an effective process for reviewing patient results, the evidence showed that this was not the case. Not reviewing results in a timely manner could mean that abnormal results are not acted on appropriately and urgently. This has the potential to lead to patient harm.