Implementation of clinical governance in hospitals: challenges and the keys for success.
AbstractThere is a number of models and strategies for improving the quality of care such as total quality management, continuous quality improvement and clinical governance. The policy of clinical governance is part of the governments overall strategy for monitoring, assuring and improving in the national health services organization. Clinical governance has been introduced as a bridge between managerial and clinical approaches to quality. For successful implementing of clinical governance, it is necessary to pay attention to firm foundations of the structure, including equipment, staffing arrangement, supporting specialties, and staff training. Therefore, as clinical governance improves safety and quality in health care services, the current situation in hospitals should be evaluated before any intervention while barriers and blocks on structure and process should be determined to select a method for changing them. Considering these points could guarantee success in implementation of clinical governance; otherwise there would be a little chance to achieve the desired results despite consumption of plenty of time and huge paper works.
Campbell SM, Sheaff R, Sibbald B, et al. Implementing clinical governance in English primary care groups/trusts: reconciling quality improvement and quality assurance. Qual Saf Health Care 2002;11(1):9-14.
Freeman T, Walshe K. Achivieving progress through clinical governance? A national study of health care managers’ perceptions in the NHS in England. Qual Saf Health Care 2004;13(5):335-43.
Halligan A, Donaldson L. Implementing clinical governance: turning vision into reality. BMJ 2001;322(7299):1413-7
Heyrani A, Maleki M, Marnani AB, et al. Clinical governance implementation in a selected teaching emergency department: a systems approach. Implement Sci 2012;7(1):84.
Campell SM, Sweeney GM. The role of clinical governance as a strategy for quality improvement in primary care. Brit J Gen Prac 2002;52(Suppl):S12-7.
Gask L, Rogers A, Campell S, et al. Beyond the limits of clinical governance? The case of mental health in English primary care. BMC Health Serv Res 2008;8(1):63.
Specchia M, Torre G, Siliqunit R, et al. OPTHGOV-A new methodology for evaluating clinical governance implementation by health providers. BMC Health Serv Res 2010;10:174.
Buetow SA, Roland M. Clinical governance: bridging the gap between manarerial and clinical approaches to quality of care. Qual Saf Health 1999;8(3):184-19.
Shakeshaft AM. A study of the attitudes and perceived barriers to undertaking clinical governance activities of dietitians in a Welsh National Health Service trust. J Hum Nutr Diet 2008;21(3):225-38.
McCormick S, Wardrope J, Perez Avila C. Quality assurance clinical governance, and a patient wants to die. Emerg Med J 2002:19(3):255-9.
Hartley AM, Griffiths RK, Saunders KL. An evaluation of clinical governance in the public health departments of the West Midland Region. J Epidemiol Community Health 2002;56(8):563-8.
Hagan H, Basnett I, McKee M. Consultant’s attitudes to clinical governance: barriers and incentives to engagement. Public Health 2007;121(8):614-22.
Balding C. Strengthening clinical governance through cultivating the line management role. Aust Health Rev 2005;29(3):353-9.
Karassavidou E, Glaveli N, Zafiropoulos K. Assessing hospitals' readiness for clinical governance quality initiatives through organizational climate. J Health Organ Manag 2011; 25(2):214-40.
Campbell SM, Roland M, Wilkin D. Improving the quality of care through clinical governance. BMJ 2001;322(7302):1580-2.
Ferlie EB, Shortell SM. Improving the quality of health care in the United Kingdom and the United States: A framework for change. Millbank Q 2001;79(2):281-315.
Wallace LM, Freeman T, Latham L, et al. Organizational strategies for changing clinical practice: how trusts are meeting the challenges of clinical governance. Qual Health Care 2001;10(2):76-82.