What Is Clinical Governance | Medical Appraisals
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It’s essentially an overarching framework covering all activities that help sustain and improve high standards of patient care. Health care organizations must be able to evidence that standards are maintained when putting any structures, systems or processes in place.
From: Scaly and Donaldson ‘Clinical governance and the drive for quality improvement in the new NHS in England’ 1998.✅👩🏼🔬
key insights:
Definition of Clinical Governance: Scaly and Donaldson define clinical governance as a system through which NHS organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care. It creates an environment where excellence in clinical care can flourish.✅👩🏼🔬
Overarching Framework: Clinical governance is an overarching framework that covers all activities aimed at sustaining and improving high standards of patient care in healthcare organizations.✅👩🏼🔬
Seven Pillars of Clinical Governance:
Clinical Effectiveness: Emphasizes evidence-based approaches, adherence to guidelines, using experience to improve, and conducting research to enhance future care.
Risk Management: Involves minimizing risks to patients through identifying problem areas, learning from previous issues, implementing risk systems, and conducting thorough risk assessments and incident reporting.
Patient and Public Involvement: Involves communicating with patients and the public to gain insight into the quality of care through patient questionnaires, forums, and representation on boards.✅👩🏼🔬
Audit: Monitoring the quality of clinical care through audits, measuring against guidelines, examining and improving any deviations, and repeating audits to ensure sustained improvement.
Staff Management: Ensures that staff are suitable for their roles, identifies underperforming individuals for improvement, encourages professional development, and promotes a positive working environment.✅👩🏼🔬
Education and Training: Highlights the importance of continual training for staff to stay updated, achieve further education, and attend events, lectures, webinars, and courses.
Information: Stresses the need for up-to-date and correct patient information, confidentiality through proper data storage, and management of patient data.
Continuous Drive for Improvement: Clinical governance ensures a continuous cycle of controlling, monitoring, and improving standards through the seven pillars, ultimately leading to a higher quality of care for patients.✅👩🏼🔬
Patient-Centric Focus: The involvement of patients and the public in various aspects of clinical governance underscores a patient-centric approach to healthcare quality improvement.✅👩🏼🔬
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What Is Clinical Governance | Medical Appraisals
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