Clinical Governance : A Guide to Implementaton for Healthcare Professionals

Clinical Governance : A Guide to Implementaton for Healthcare Professionals

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  • 製本 Paperback:紙装版/ペーパーバック版/ページ数 134 p.
  • 言語 ENG
  • 商品コード 9780632058013
  • DDC分類 362.10685

Table of Contents

Foreword                                           vii
Preface x
Introduction and Background: Clinical 1 (11)
Governance and the National Health Service
Rob McSherry
Paddy Pearce
Introduction 1 (1)
Background 1 (8)
Why the need for clinical governance? 1 (2)
Changes in health policy 3 (1)
Raising patient/carer expectations 4 (1)
Increased patient dependency 5 (1)
Demographic changes in society 6 (1)
Advances in health technology 6 (1)
Changes in care delivery systems 7 (1)
Lack of public confidence because of 8 (1)
recent media coverage of poor clinical
practices
Rising numbers of complaints going to 8 (1)
litigation
Trend towards greater access to 9 (1)
healthcare information
Summary 9 (1)
Key points 9 (1)
Recommended reading 10 (1)
References 10 (2)
What is Clinical Governance? 12 (17)
Rob McSherry
Paddy Pearce
Introduction 12 (1)
The evolution of clinical governance 12 (4)
Origins of clinical governance 12 (2)
Corporate governance and the NHS 14 (2)
Defining clinical governance 16 (5)
Clinical governance? 17 (2)
The key components of clinical governance 19 (1)
Non-clinical services that support 20 (1)
clinical governance
Controls assurance 21 (2)
Potential advantages and disadvantages of 23 (2)
governance in the NHS for organisations and
individuals
Conclusion 25 (1)
Key points 26 (1)
Recommended reading 26 (1)
Useful websites 27 (1)
References 27 (2)
A Guide to Clinical Governance 29 (31)
Rob McSherry
Paddy Pearce
Introduction 29 (1)
The key components of clinical governance 29 (5)
Describing the key components of clinical 30 (1)
governance
Healthcare organisations and the 30 (4)
achievement of quality care
Risk management 34 (3)
Managing performance 37 (4)
Quality improvement 41 (8)
Clinical risk management and audit 42 (1)
Continued practice and professional 43 (1)
development
Implementing continuing professional 44 (1)
development within an NHS Trust
Research and development (R&D) 44 (1)
Evidence based healthcare 45 (4)
Summary 49 (1)
Quality information 49 (5)
Information requirements for effective 51 (1)
clinical governance systems
Healthcare organisations 51 (1)
Information for clinical teams 51 (2)
Individuals (healthcare professionals and 53 (1)
patients)
Accountability 54 (1)
Conclusion 55 (1)
Key points 56 (1)
Recommended reading 57 (1)
References 58 (2)
Applying Clinical Governance in Daily Practice 60 (29)
Rob McSherry
Paddy Pearce
Introduction 60 (1)
Introducing clinical governance into 61 (7)
healthcare organisations
Clinical governance: what is a baseline 62 (5)
assessment?
What does a clinical governance action 67 (1)
plan look like and why are they necessary?
Clinical governance action plan 68 (1)
Case study 1: Applying the principles of 68 (3)
clinical governance to an organisation
Case study 2: Applying the principles of 71 (3)
clinical governance to a team
Case study 3: Systems and processes 74 (2)
associated with the application of a
clinical governance framework at individual
level
Conclusion 76 (1)
Key points 77 (1)
Recommended reading 78 (1)
References 78 (1)
Appendix 4.1 An example of a clinical 79 (7)
governance action plan
Appendix 4.2 An example of a personal 86 (3)
development plan
Identifying and Exploring the Barriers to the 89 (26)
Implementation of Clinical Governance
Rob McSherry
Paddy Pearce
Introduction 89 (1)
The potential barriers affecting the 89 (1)
implementation of clinical governance
The barriers associated with clinical 90 (22)
governance
Culture 92 (5)
Management 97 (4)
Leadership 101(2)
Communication 103(3)
Education and training 106(3)
Knowledge 109(1)
Support 110(2)
Conclusion 112(1)
Key points 113(1)
Recommended reading 113(1)
References 113(2)
Clinical Governance and the Law 115(11)
John Tingle
Introduction: Defining terms 115(1)
Litigation in the NHS 116(1)
How the courts determine competent clinical 117(3)
practice
The law and clinical guidelines 120(1)
Personal updating: knowledge and clinical 121(2)
guidelines
Good guidelines practice 123(1)
References 124(1)
Further reading 125(1)
Conclusion: The Future of Clinical Governance 126(3)
for Healthcare Professionals
Rob McSherry
Paddy Pearce
References 128(1)
Useful websites 129(2)
Index 131