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Clinical governance

Created: 24/5/2006
Updated: 24/5/2006

Clinical governance

Definition- Series of processes for improving quality and ensuring professionals are accountable for their practices
Aims to achieve evidence-based guidlines
Aims to place the responsibility for quality healthcare on staff
Ensures this process is adequately monitored

Clinical governance in a word is "quality"

Aspects of clinical governance:

1 Quality assurance

  • Ensures that the correct things occur and the incorrect things do not
  • Achieved by using resources such as cochrane, NICE, national service frameworks, national confidential enquiries and the GMC's good medical practice guide

2 Clinical audit

3 Clinical risk management

Concerned with identifying risk and taking action to reduce or eliminate the risk of harm to patients
All trusts should have a risk management strategy

Risk is identified with:

  • Critical incident forms
  • Audits
  • Complaints
  • Confidential enquiries
  • Staff observations
  • Patients satisfaction surveys

4 Clinical effectiveness

  • Is centred on evidence-based clinical practice
  • It is concerned with doing the right thing, in the right way, at the right time to the right patient
  • One method of ensuring clinical effectiveness is to use care pathways

5 Continuing professional development

  • Consists of educational activities which serve to maintain, develop or increase personal knowledge and skills
  • Appraisals and assessements are key to this

NB Appraisal-dynamic process involving two-way communication
Assessment-snapshot providing eveidence for a person's level of training
A combination of the two allows objectives and standards to be set

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