Clinical governance : a guide to implementation for healthcare professionals /

• McSherry, Robert
• Pearce, Paddy
• Tingle, John

• Medical care -- Quality control
• Medical audit
• Clinical competence

• Blackwell Pub,

• 140513920X (pbk.) :
• 9781405139205 (pbk.) :

• 22.50

• Includes bibliographical references and index.
• CHAPTER 1: INTRODUCTION AND BACKGROUND: CLINICAL GOVERNANCE AND THE NATIONAL HEALTH SERVICE Introduction Background Why the need for clinical governance? Political Changes in health policy The impact of organizational change on the provision and delivery of health care Public Rising patient and public expectations and involvement Demographic changes Lack of public confidence in healthcare provision due to media coverage of poor clinical practices Trend towards greater access to healthcare information Professional Increased patient dependency Advances in health care technology Rising numbers of complaints going to litigation Summary Key Points Suggested reading References CHAPTER 2: WHAT IS CLINICAL GOVERNANCE? Introduction The evolution of clinical governance Origins of clinical governance Corporate governance and the NHS The development of a framework of corporate governance Improvements in the organisation and staffing of internal audit The development of controls assurance Defining clinical governance The key components of clinical governance Non-clinical services that support clinical governance Controls assurance Standards for Better Health The need for national healthcare standards Defining the healthcare standards Describing the new healthcare standards The standards vs existing systems Applying the healthcare standards to an example of practice Criteria for evaluating the standards Conclusion Key points Suggested reading Useful websites References CHAPTER 3: A GUIDE TO CLINICAL GOVERNANCE Introduction The key components of clinical governance Healthcare organisations and the achievement of quality care Risk management Managing performance Clinical incident reporting Individual performance review Complaints and accolades monitoring Sickness and absence monitoring Quality improvement Clinical risk management and clinical audit Continued practice and professional development Implementing continuing professional development within an NHS organisation Research and development (R D) Evidence-based healthcare Quality information Information requirements for effective clinical governance systems Healthcare organisations Clinical teams Individuals (healthcare professionals and patients) Accountability Conclusion Key points Suggested reading References CHAPTER 4: APPLYING CLINICAL GOVERNANCE IN DAILY PRACTICE Introduction Introducing clinical governance into healthcare organisations Clinical governance: what is a baseline assessment and development plan? What does a clinical governance action plan look like and why is it necessary? Case study 1: Applying the principles of clinical governance to an organisation Case study 2: Applying the principles of clinical governance to a team Case study 3: Systems and processes associated with the application of a clinical governance framework at individual level Conclusion Key points Suggested reading References Appendix 4.1 an example of a clinical governance action plan Appendix 4.2 an example of a personal development plan CHAPTER 5: IDENTIFYING AND EXPLORING THE BARRIERS TO THE IMPLEMENTATION OF CLINICAL GOVERNANCE Introduction The potential barriers affecting the implementation of clinical governance Culture Management Management styles and clinical governance Change management Reaction to change Leadership Communication Education and training Informing the organisation, team and individuals about clinical governance Knowledge Support Conclusion Key points Suggested reading References CHAPTER 6: CLINICAL GOVERNANCE AND THE LAW Introduction: defining terms Litigation in the NHS Setting the scene Where we are now with clinical governance? What is competent clinical practice? How the courts determine competent clinical practice The law and clinical guidelines Personal updating: knowledge and clinical guidelines Good guidelines practice Conclusion References CHAPTER 7: THE IM

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