scholarly journals Organisational strategies for changing clinical practice: how trusts are meeting the challenges of clinical governance

2001 ◽  
Vol 10 (2) ◽  
pp. 76-82 ◽  
Author(s):  
L M Wallace
Keyword(s):  
Clinical Practice ◽  
Clinical Governance

scholarly journals The use of operationalised criteria for inclusion on a Care Programme Approach register

2001 ◽  
Vol 25 (5) ◽  
pp. 172-174 ◽  
Author(s):  
M. Phipot ◽  
H. Hales ◽  
B. Sheehan ◽  
S. Reeves ◽  
M. Lawlor
Keyword(s):  
Clinical Practice ◽  
Clinical Audit ◽  
Clinical Governance ◽  
Clinical Implications ◽  
Policy Feedback ◽  
Retrospective Case ◽  
Care Programme ◽  
Minimum Standards ◽  
Audit Cycle ◽  
Service Policies

Aims and MethodTo determine the rates at which clinical teams within one NHS trust placed older people on a Care Programme Approach (CPA) register and to examine the degree to which clinicians' use of the register conformed to trust policy. Two retrospective case notes surveys were carried out 6 months apart within a completed audit cycle.ResultsConsultant teams varied considerably in their application of the CPA policy. Feedback to clinicians after the first survey had a variety of effects on subsequent use of the CPA register.Clinical ImplicationsHealth service policies exist to reduce variation in clinical practice and to ensure minimum standards. Clinical audit may be a useful tool in identifying irrational variation within the framework of clinical governance.

The British standard series of contact dermatitis allergens: validation in clinical practice and value for clinical governance

2003 ◽  
Vol 148 (2) ◽  
pp. 259-264 ◽  
Author(s):  
J.E.R. Britton ◽  
S.M. Wilkinson ◽  
J.S.C. English ◽  
D.J. Gawkrodger ◽  
A.D. Ormerod ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Contact Dermatitis ◽  
Clinical Governance ◽  
Standard Series ◽  
British Standard

Foundations of clinical practice

2011 ◽  
Author(s):  
Thomas Hughes
Keyword(s):  
Randomized Controlled Trial ◽  
Clinical Practice ◽  
Placebo Effect ◽  
Critical Review ◽  
Trial Design ◽  
Teaching And Learning ◽  
Controlled Trial ◽  
Clinical Governance ◽  
Review Of The Literature ◽  
Randomized Controlled

♦ Conscious and unconscious competency♦ Clinical research and the placebo effect♦ Trial design and the randomized controlled trial♦ Critical review of the literature♦ Clinical governance and audit♦ Capacity and consent♦ Principles of teaching and learning.

Clinical governance

2020 ◽  
pp. 72-82
Author(s):  
Leroy C. Edozien
Keyword(s):  
Quality Improvement ◽  
Clinical Practice ◽  
Clinical Outcomes ◽  
Patient Experience ◽  
Clinical Governance ◽  
Service Users ◽  
Basic Principles ◽  
Analyse Data ◽  
Integrated Domains ◽  
The Right

Clinical governance is the totality of structures and processes that are in place to ensure that, as far as practicable, the right person receives the right treatment, in the right way, at the right time, in the right place, with the right outcome. This goal does not happen by chance; it has to be secured by conscious effort, and that effort—creating and sustaining the required structures and processes—has to be actively and efficiently managed. This chapter describes the basic principles of clinical governance and provides a framework—the RADICAL framework—for delivering and monitoring clinical governance. The framework comprises the following domains: Raise awareness, Apply quality improvement methodology, Design for quality (including safety), Involve service users, Collect and Analyse data, and Learn from experience. The lofty aims of achieving optimal clinical outcomes and the best possible patient experience are best achieved when clinical practice addresses these integrated domains.

scholarly journals Clinical governance: breathing new life into clinical audit

2002 ◽  
Vol 8 (6) ◽  
pp. 470-476 ◽  
Author(s):  
Claire Palmer
Keyword(s):  
Clinical Practice ◽  
Patient Care ◽  
Clinical Audit ◽  
Clinical Governance ◽  
Everyday Clinical Practice ◽  
Integral Component

The terms ‘clinical audit’ and ‘clinical governance’ elicit a variety of responses, including boredom, frustration, incomprehension and, rarely, enthusiasm. This paper sets out to persuade the reader that clinical audit, as an integral component of clinical governance, will be reborn as an activity that clinicians will find interesting, developmental and a useful part of their everyday clinical practice. Under clinical governance, clinical audit will at last be able to achieve important and measurable improvements in patient care as a matter of routine.

Principles of good surgical practice

2018 ◽  
pp. 17-26
Author(s):  
Abdullah Jibawi ◽  
Mohamed Baguneid ◽  
Arnab Bhowmick
Keyword(s):  
Clinical Practice ◽  
End Of Life ◽  
Medical Practice ◽  
Good Clinical Practice ◽  
Clinical Governance ◽  
Surgical Practice ◽  
Governance Framework ◽  
Good Medical Practice ◽  
Life Management ◽  
Sensitive Issues

The importance of the surgeon’s professional responsibilities goes beyond immediate good clinical practice into the wider purpose and values that underpin the profession. Acceptable levels of good surgical practice, as detailed in the GMC Good Medical Practice, requires a good understanding and a proper application of relationship and responsibilities with patients and colleagues, as well as other issues, safety and quality, clinical governance framework, providing references, and advising on sensitive issues, such as end of life management. Maintaining boundaries with patients should also be respected all the time.

Who let the dogs out? Therapy dogs in clinical practice

2018 ◽  
Vol 26 (2) ◽  
pp. 196-199 ◽  
Author(s):  
MG Jones ◽  
SM Rice ◽  
SM Cotton
Keyword(s):  
Clinical Practice ◽  
Treatment Outcomes ◽  
Clinical Governance ◽  
Animal Assisted Therapy ◽  
Clinical Settings ◽  
Therapy Dogs ◽  
Anxious Arousal ◽  
Training And Support ◽  
Animal Presence ◽  
Theoretical Foundations

Objectives: Animal-assisted therapy (AAT) is a growing field in Australia, and therapy dogs are becoming increasingly common in clinical settings. This paper aims to highlight the current issues facing AAT in Australia and to make recommendations on how to progress the field. We acknowledge that there are several ways that therapy dogs may enhance treatment outcomes for clients, such as reductions in stress and acute anxious arousal, and improvements in engagement and rapport. These psychological and physiological advantages, however, may not be sustained once interaction with the dog ceases. Clinicians require adequate training and support to develop and implement interventions that are based on sound theoretical foundations, and take advantage of the adjunctive benefits of animal presence. Conclusions: A series of recommendations are made for the professionalisation of AAT, including the development of consensus definitions, clinical governance, accreditation, research and evaluation.

Fiery Spirits in the context of institutional entrepreneurship in Swedish healthcare

2015 ◽  
Vol 29 (4) ◽  
pp. 515-531 ◽  
Author(s):  
Nomie Eriksson ◽  
Sandor Ujvari
Keyword(s):  
Clinical Practice ◽  
Clinical Governance ◽  
Learning Processes ◽  
Clinical Practices ◽  
Institutional Entrepreneurship ◽  
Content Type ◽  
Team Members ◽  
Organizational Perspective ◽  
Sustained Change ◽  
Directed Change

Purpose – Clinical governance and leadership concepts can lead to more or less successful implementations of new clinical practice. The purpose of this paper is to examine how Fiery Spirits, as institutional entrepreneurs can, working in a team, implement sustained change in hospital clinical practice. Design/methodology/approach – This paper describes two case studies, conducted at two Swedish hospitals over a period of two years, in which changes in clinical practice were implemented. In both cases, key-actors, termed Fiery Spirits, played critical roles in these changes. The authors use a qualitative approach and take an intra-organizational perspective with semi-structured in-depth interviews and document analysis. Findings – The new clinical practices were successfully implemented with a considerable influence of the Fiery Spirits who played a pivotal role in the change efforts. The Fiery Spirits persuasively, based on their structural and normative legitimacy and the adoption of learning processes, advocated, and supported change. Practical implications – Fiery Spirits, given flexibility and opportunity, can be powerful forces for change outside the trajectory of management-inspired and management-directed change. Team members, when inspired and encouraged by Fiery Spirits, are less resistant to change and more willing to test new clinical practices. Originality/value – The paper complements literature on how the Fiery Spirit concept aligns with concepts of clinical governance and leadership and how change can be achieved. Additionally, the findings show the effects of legitimacy and learning processes on change in clinical practice.

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