Implementing clinical governance – results of a year’s programme of semi‐structured visits to assess the development of clinical governance in West Midlands Trusts

Grainger, Caron; Hopkinson, R. B.; Barrett, Vanessa; Campbell, Colin; Chittenden, Sam; Griffiths, R; Low, David C.Y.; Parker, Jo Alyson; Roy, Ashok; Thompson, Tamar; Wilson, Trish

doi:10.1108/14664100210438262

Cited by 8 publications

(16 citation statements)

References 3 publications

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“…Clinical governance is a notable example of ‘joined‐up’ policy development and the entire concept can be difficult to translate into the integrated and systematic approach to improving quality of care (Granger et al. , 2002).…”

Section: Discussionmentioning

confidence: 99%

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Clinical governance in primary care: a literature review

Tait

2004

Journal of Clinical Nursing

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Clinical governance is about changing the way people work; demonstrating that leadership, teamwork and communication is as important to high quality care as risk management and clinical effectiveness. Whilst the sharing of information between practices is seen to be increasing with multi-professional study days occurring in some areas this in turn needs commitment for time and funding. The organisational and cultural environment within the trust as well as resource issues needs continuous attention if high quality governance is to become the norm.

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Section: Discussionmentioning

confidence: 99%

“…The model consists of five main themes: structure, process, outcome, culture, and knowledge (SPOCK). The model developed Donabedian's work on comparison and, therefore, Granger et al. (2002) developed the themes of culture and knowledge as benchmarks to structure these comparisons.…”

Section: Systems Used To Evaluate Health Care Systemsmentioning

confidence: 99%

Clinical governance in primary care: a literature review

Tait

2004

Journal of Clinical Nursing

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“…Designing a system for the evaluation of CG implementation that helps ensure the successful building of the infrastructure and settings required for these goals is an essential matter (17). Different countries have used different models for evaluating their CG systems; these models assess the rate of healthcare organizations' success in implementing CG (18 (22). The results of this study showed that assessing CG implementation has different aspects and is influenced by many factors.…”

Section: Introductionmentioning

confidence: 89%

“…Next in significance from this category are information systems. The complexity of problems that healthcare is faced with today has increased the need for acquiring relevant information for decision-making more than any other time (18). In the criteria developed by the MoHME for CG evaluation, this criterion was placed under the group of information use, and the necessity of having a Hospital Information System (HIS) was more emphasized.…”

Section: Main Category 3: Development Managementmentioning

confidence: 99%

Validating and determining the weight of items used for evaluating clinical governance implementation based on analytic hierarchy process model

Hooshmand

Tourani

Ravaghi

et al. 2015

Int J Health Policy Manag

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Background: The purpose of implementing a system such as Clinical Governance (CG) is to integrate, establish and globalize distinct policies in order to improve quality through increasing professional knowledge and the accountability of healthcare professional toward providing clinical excellence. Since CG is related to change, and change requires money and time, CG implementation has to be focused on priority areas that are in more dire need of change. The purpose of the present study was to validate and determine the significance of items used for evaluating CG implementation. Methods: The present study was descriptive-quantitative in method and design. Items used for evaluating CG implementation were first validated by the Delphi method and then compared with one another and ranked based on the Analytical Hierarchy Process (AHP) model. Results:The items that were validated for evaluating CG implementation in Iran include performance evaluation, training and development, personnel motivation, clinical audit, clinical effectiveness, risk management, resource allocation, policies and strategies, external audit, information system management, research and development, CG structure, implementation prerequisites, the management of patients' non-medical needs, complaints and patients' participation in the treatment process. The most important items based on their degree of significance were training and development, performance evaluation, and risk management. The least important items included the management of patients' non-medical needs, patients' participation in the treatment process and research and development. Conclusion: The fundamental requirements of CG implementation included having an effective policy at national level, avoiding perfectionism, using the expertise and potentials of the entire country and the coordination of this model with other models of quality improvement such as accreditation and patient safety.

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“…Creating a safety culture The culture of an individual health organisation shapes the clinical governance that is enacted (Braine, 2006;Grainger et al, 2002;Konteh et al, 2008). One of the key recommendations in the Commission on Patient Safety and Quality Assurance report Building a Culture of Patient Safety (Department of Health and Children, 2008) is the development and encouragement of a culture of open disclosure.…”

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confidence: 99%

Clinical governance in the Irish health system – a review of progress

McAuliffe

2014

Clinical Governance: An International Journal

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Access to this document was granted through an Emerald subscription provided by emerald-srm:198285 [] For AuthorsIf you would like to write for this, or any other Emerald publication, then please use our Emerald for Authors service information about how to choose which publication to write for and submission guidelines are available for all. Please visit www.emeraldinsight.com/authors for more information. About Emerald www.emeraldinsight.comEmerald is a global publisher linking research and practice to the benefit of society. The company manages a portfolio of more than 290 journals and over 2,350 books and book series volumes, as well as providing an extensive range of online products and additional customer resources and services.Emerald is both COUNTER 4 and TRANSFER compliant. The organization is a partner of the Committee on Publication Ethics (COPE) and also works with Portico and the LOCKSS initiative for digital archive preservation. AbstractPurpose -The purpose of this paper is to explain the path that the Irish health system has taken towards achieving good clinical governance, exploring the historical influences on its' development, some of the major initiatives that have been implemented and the obstacles that have been encountered. Design/methodology/approach -The paper draws on the author's experience researching and teaching in health systems and healthcare management. Findings -The paper offers some explanations for why earlier attempts failed to change the system as well as why recent attempts have met with more success. Greater efforts need to be made to progress clinical governance in the primary care services. In addition it is argued that there is a need to institute systems that enable learning form errors, to involve the public and patient groups and to invest in research that enables answers to the how and why questions that are so often neglected in the reform process. Originality/value -The paper discusses clinical governance in the Irish Health system and identifies some of the challenges yet to be addressed, many of which are common to clinical governance efforts in other jurisdictions.

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Implementing clinical governance – results of a year’s programme of semi‐structured visits to assess the development of clinical governance in West Midlands Trusts

Cited by 8 publications

References 3 publications

Clinical governance in primary care: a literature review

Clinical governance in primary care: a literature review

Validating and determining the weight of items used for evaluating clinical governance implementation based on analytic hierarchy process model

Clinical governance in the Irish health system – a review of progress

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