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Identify a patient story/narrative related to the quality and/or safety of health care. The patient story/narrative may be based upon your previous experiences or be identified from published literature (including videos, books and journal articles). The patient story/narrative can relate to an identified near miss, an actual breakdown in care or an example of high quality care.

Provide a summary of your patient story / narrative and describe the context in which the healthcare experience occurred. Analyse the care the person experienced using a framework to structure your analysis (this should include use of a Fishbone Diagram and a framework such as The London Protocol or Significant Event Audit).

Using the components of clinical governance (consumer participation, clinical effectiveness, an effective workforce and risk management), discuss how these components can be used to improve the quality of care the patient experienced.

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