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Patient Care: Clinical Governance and Quality Essay


An Assessment of clinical Governance and Quality of Patient Care programs

This study is an assessment of the impact of clinical governance as a tool for guiding healthcare providers in the provision of high-quality clinical services to different categories of patients (Sh 2014). Different authors have explored the impact of clinical governance on the quality of clinical healthcare programs and made various recommendations (Parsaamal & Salamzadeh 2013). In the context of various authors such as Grol (2001), Higginson and Carr (2001), Thiru, Hassey, and Sullivan (2003), Singh (2009), Staniland (2009), the study sets out to determine the key elements of the governance framework appropriate for effective patient safety and quality of clinical healthcare outcomes.

A critical analysis of four articles on the topic of discussion has revealed varying strategies in answering the research question on “what are the best governance practices for implementing high-quality patient care programs? “ The articles that were reviewed to answer the research question include:

  1. Parsaamal, E & Salamzadeh, Y 2013. ‘An investigation on the implementation of clinical governance: A case study of an Iranian hospital’, Management Science Letters, vol. 10, no. 3, pp. 2537-2548.
  2. Sh, R 2014, ‘Clinical Governance: Efficacy of Establishment in Mashhad Hospital’, Journal of Patient Safety & Quality Improvement, vol. 1, no. 2, pp. 48-52.
  3. Singh, R 2009, ‘Clinical governance in operation – everyone’s business: a proposed framework’, Clinical Governance: an International Journal, vol. 3, no. 14, pp. 189-197.
  4. Staniland, K 2009, ‘A sociological ethnographic study of clinical governance implementation in one NHS hospital trust’, Clinical Governance: An International Journal, vol. 4, no. 14, pp. 271-280

Each of the articles provides detailed approaches and principles of clinical governance. Briefly, the article ‘a’ emphasizes on the use of clinical governance to achieve patient satisfaction, professional performance, resource allocation and risk management (Parsaamal & Salamzadeh 2013). A critique of the article will be based on the four elements clinical Australian governance model that is defined by risk management, efficiency, patient satisfaction, and Professional Effectiveness (Allen 2000). Despite being informative, the article falls short of integrating the principles such as emphasis on learning, just culture, obligations, and the roles to ensure quality of service is achieved.

The second article in the list ‘b’ provides detailed research on the systematic use of clinical governance to promote patient care based on the core principle of quality improvement in England. However, points to critique include methods used for optimizing healthcare clinical governance, achieving quality and patient safety and excellence of service delivery. The third article ‘c’ demonstrates the role of competent clinical governance and its relationship with quality of service and healthcare outcomes. The key points to investigate include the elements of clinical governance framework, patient involvement, and the role of leadership in quality healthcare services.

The fourth article, d, in the list provides a detailed account of the stakeholder involvement in the implementation and outcomes of clinical governance and the accomplishments made (Grol 2001). A clear working definition of clinical governance is provided in the study in the context of the National Health Service (NHS). Organizational effectiveness underpins the success in the implementation process. The theoretical proposition of the sociological new institutionalism theory provides a clear theoretical framework for the study. Among the key points of critiquing the article are continuous quality improvement methods, excellence in clinical care, and knowledge sharing among the governance leadership.

References

Allen, P 2000, ‘Accountability for clinical governance: developing collective responsibility for quality in primary care’, BMJ, vol. 7261, no. 321, pp. 608-611.

Grol, R 2001, ‘Improving the quality of medical care: building bridges among professional pride, payer profit, and patient satisfaction’, Jama, vol. 20, no. 286, pp. 2578-2585.

Higginson, I. J & Carr, A J 2001, ‘Using quality of life measures in the clinical setting’, Bmj, vol. 7297, no. 329, pp. 1297-1300.

Parsaamal, E & Salamzadeh, Y 2013. ‘An investigation on implementation of clinical governance: A case study of an Iranian hospital’, Management Science Letters, vol. 10, no. 3, pp. 2537-2548.

Sh, R 2014, ‘Clinical Governance: Efficacy of Establishment in Mashhad Hospital’, Journal of Patient Safety & Quality Improvement, vol. 1, no. 2, pp. 48-52.

Singh, R 2009, ‘Clinical governance in operation – everyone’s business: a proposed framework’, Clinical Governance: an International Journal, vol. 3, no. 14, pp. 189-197.

Staniland, K 2009, ‘A sociological ethnographic study of clinical governance implementation in one NHS hospital trust’, Clinical Governance: An International Journal, vol. 4, no. 14, pp. 271-280.

Thiru, K, Hassey, A & Sullivan, F 2003, ‘Systematic review of scope and quality of electronic patient record data in primary care’, Bmj, vol. 398, no. 326, pp.1070.

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