Author:
Braithwaite Jeffrey,Travaglia Joanne F
Abstract
Objective: To map the emergence of, and define,
clinical governance; to discuss current best practices,
and to explore the implications of these for
boards of directors and executives wishing to
promote a clinical governance approach in their
health services.
Methods: Review and analysis of the published
and grey literature on clinical governance from
1966 to 2006. Medline and CINAHL databases,
key journals and websites were systematically
searched.
Results: Central issues were identified in the
literature as key to effective clinical governance.
These include: ensuring that links are made
between health services? clinical and corporate
governance; the use of clinical governance to
promote quality and safety through a focus on
quality assurance and continuous improvement;
the creation of clinical governance structures to
improve safety and quality and manage risk and
performance; the development of strategies to
ensure the effective exchange of data, knowledge
and expertise; and the sponsoring of a patientcentred
approach to service delivery.
Conclusions: A comprehensive approach to clinical
governance necessarily includes the active
participation of boards and executives in sponsoring
and promoting clinical governance as a quality
and safety strategy. Although this is still a relatively
recent development, the signs are promising.
Cited by
78 articles.
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