What are the main ingredients of good clinical governance

What are the main ingredients of good clinical governance

Improving the quality of patient care in the clinical environment reduces costs and improves patient outcomes. Clinical governance is a systematic organizational approach to improve patient outcome and reduce the number of critical incidents. It is a leadership system that encourages each team member to actively participate in providing better quality of care.

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The Foundation Basics


Good communication is open lines of communication between the members of the teams, across different teams all the way through management and must flow in all directions.

Next is leadership, which sets the tone for the organization and must include the teams and the individuals themselves. According to the National Institute of Health, promoting the clinician team leader erodes the blame and secrecy environment.

Ownership is fundamental for good clinical governance. Team members who take ownership of the patient care and quality of service move the level of care upward.

The term “safety culture” is used to describe the shift from assigning blame to learning from mistakes. If an organization spends more time learning and less time blaming, it reduces the number of critical incidents that lead to death or long-term disability.

High quality data, another fundamental piece, requires using patient responses and maintaining outside clinical staffing such as those provided by TQT Studies from companies such as www.richmondpharmacology.com/specialist-services/tqt which can lead to increased treatment effectiveness, participate in healthcare surveys and provide information to governing bodies.

Last but certainly not least is patient involvement in the planning of their treatment or in determining the effectiveness of their treatment. The patient lives with the disease and only they can tell you how they feel.

The Pillars


•       Clinical effectiveness is making sure the right people get the right care in the most effective way.
•       Risk management is the determination of the benefit versus the harm of a treatment.
•       Patient focus leads back to patient involvement.
•       Interface between primary and secondary care leads back to good communication, a team that can communicate well with anyone.
•       Professional self-regulation leads back to ownership of the team and their responsibility to patient care.
•       Continuing professional development leads back to the safety culture and ownership in that the team members continue to learn and develop their skills and knowledge.
•       Research and development is where all the high quality data and treatment decisions lead to new and more effective patient care.