An introduction to clinical governance in dentistry

Patel, Kishan; Jenkyn, Ian

doi:10.1038/s41415-021-2839-9

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…The nature of providing dental care to patients is risky. This means the patient may experience an adverse event [21].…”

Section: Risk Managementmentioning

confidence: 99%

“…The Saudi Patient Safety Center specified several categories of events to be reported, such as wrong diagnosis or treatment for the wrong patient, procedural errors, infection control related issues, laboratory-related issues, patient care management, medication errors, communication issues, radiation treatment, sentinel events, occupational health, and medical imaging and diagnostic procedure [23]. Risk management aims to identify the inappropriateness within the patient care environment, understand the risk factors, establish a blame-free incident reporting culture, learn from the reported incidents, and have a system to reduce risk and therefore reduce incidents [21]. An example of a risk assessment tool is the WHO surgical safety checklist [24].…”

Section: Risk Managementmentioning

confidence: 99%

“…This signifies that dental system personnel; both health and non-health practitioners require proper training, inspiration, and a willingness to provide the best care. For instance, reception staff must attend classes in effective communication, which is essential because dentists who receive continuing professional education hours give their patients an accountable care perspective [21].…”

Section: Human Resource Managementmentioning

confidence: 99%

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Dental Governance and the Saudi Vision 2030: A Narrative Review

Aldossary¹

2022

Saudi J Health Syst Res

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Background: Improving the quality of services and facilitating access to healthcare services are crucial for improving the human quality of life. Hence, clinical governance plays a major role in improving quality of the health services, including dentistry. Governance aims to always improve the care provided in dentistry. Dental governance is based on seven pillars; evidence-based practice, clinical auditing and calibration, risk management, continuing medical education, involving patient and community in healthcare improvement, human resource management, and information management. It is the responsibility of dentists and other relevant practitioners to enhance governance within dental healthcare systems to provide safe and effective care to patients who undoubtedly deserve it. Summary: Governance includes many aspects and has multiple facets, and we introduced its basic principles. The aim of this article was to review the seven pillars of dental governance with the implication of the influence of the Saudi Vision 2030 on improving dental governance in Saudi Arabia. Key Messages: The Saudi Vision 2030 is leading the healthcare transformation, including dental care, through a set of health governance strategies by the governmental organizations in Saudi Arabia, which comply with the seven pillars of dental governance.

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“…The nature of providing dental care to patients is risky. This means the patient may experience an adverse event [21].…”

Section: Risk Managementmentioning

confidence: 99%

Section: Risk Managementmentioning

confidence: 99%

Section: Human Resource Managementmentioning

confidence: 99%

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Dental Governance and the Saudi Vision 2030: A Narrative Review

Aldossary¹

2022

Saudi J Health Syst Res

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“…Clinical governance is the system through which the National Health Service organisations are accountable for continuously improving quality of their services and safeguarding high standards of care by creating an environment in which clinical excellence will flourish [ 1 ]. One of the seven pillars of clinical governance is clinical audit [ 2 ]. Clinical audit is defined as a quality improvement process that seeks to improve patient care and outcomes through systematic review against explicit criteria and implementation of change [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Should Audits Consider the Care Pathway Model? A New Approach to Benchmarking Real-World Activities

et al. 2022

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Clinical audit is a method to assess the quality of healthcare services based on whether standards are met or not met. This approach is limited because it fails to recognize how decisions that take place over time and the natural progression of disease has an impact on what happens to patients and the care they receive. The aim of this paper is to introduce the concept of care pathway and explain how care pathways can be audited to better understand care. The care pathway is defined by clinically relevant events that take place within one or more healthcare institutions. The process begins with defining an ideal care pathway which is created by considering local expertise and guidelines. It is then possible to audit against the extent to which this ideal care pathway is achieved. This care pathway audit can enable identification of patterns in real-world care which can help with the of design interventions to help shift patients from the less to more desirable pathways. We conclude that through the process of the care pathway audit cycle, it is possible to learn about real-world activities, better utilize resources, promote safer care, improve quality of care, and help develop more effective interventions.

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