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

Abstract

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.

Intra-abdominalCandidaspp infection in acute abdomen in a quality assurance (QA)-certified academic setting

“…Clinical audits are vital in quality assurance (QA)-certified institutions, particularly in emergency settings, and consist of quality processes aiming to improve patient care and outcomes through systematic review of care against explicit standards/criteria with enactment of changes in practice if needed. 21 22 The aim of this investigation was to evaluate the contribution of histopathology in surgical patients with acute abdomen and complicated IAIs with cultures positive for Candida spp.…”

Framework Development for Clinical Comprehensive Evaluation of Drugs–a Study Protocol Using the Delphi Method and Analytic Hierarchy Process

“…If the two components are of equal importance, the number one will be inserted in the corresponding cell. If the row component is considered more important than the column component, a number between two and nine will be inserted in the corresponding cell ( Alharthi et al, 2015 ; Hooshmand et al, 2015 ). Conversely, if the column component is considered more important than the row component, the fraction between 1/9 to 1/2 will be inserted in the corresponding cell.…”

Designing a Performance Evaluation Model Based on Balanced Score Card and Analytic Hierarchy Process Methods: Montaserieh Hospital

“…Furthermore, AHP is one of the well-known techniques of multi-objective Copyright © 2018, Journal of Health Scope. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited decision-making (9,10), which is a way to prioritize (determining the degree of importance) with a strong scientific approach to decision-making (9,10). In various studies, the use of BSC has caused enhancement of patients and community satisfaction, increase in productivity and hospital sources, improvement in performance in managing health care, controlling the costs of the hospital as well as careful comparison of the performance of the Iranian public hospitals (9,(11)(12)(13), and it is suggested to apply the BSC approach to improve hospital performance evaluation (13,14).…”