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Clinical Governance

Unit 2 Lesson 1

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Student Learning Outcomes

Define clinical governance (CG)
Explain the benefits of CG
Describe the supporting principles of CG
Describe the implementation challenges of effective CG
Define the key elements of a CG framework

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Clinical Governance

Defined by ACSQHC

A system through which organizations are accountable for continuously improving the quality of their services

Encompasses all aspects of clinical care

Safety
Effectiveness
Client experience

(Lloyd et al., 2023.)

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Clinical Governance continued…

Ensures accountability for safe, effective, integrated, high-quality healthcare
Involves everyone from frontline clinicians to managers and governing bodies
Aims to address variations in standards and quality of care

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Critical Thinking Question

A nurse manager is tasked with explaining clinical governance to their team.

How would you advise them to describe it in a way that emphasizes its importance to daily nursing practice?

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Benefits of Clinical Governance

Improves client outcomes
Reduces medical errors and adverse events
Ensures consistent quality of care
Promotes accountability and transparency
Supports continuous improvement in healthcare
Enhances client satisfaction and trust in healthcare services

(Lloyd et al., 2023.)

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Benefits of Clinical Governance continued…

Improves staff morale and job satisfaction
Reduces healthcare costs by minimizing errors and inefficiencies
Facilitates evidence-based practice and decision-making

(Lloyd et al., 2023.)

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Critical Thinking Question

What is considered a primary benefit of effective clinical governance?

a) Improved client outcomes

b) Increased staff satisfaction

c) Enhanced organizational reputation

d) Streamlined administrative processes

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Supporting Principles of Clinical Governance

Clear vision and values
Defined organizational and committee structures
Cultural and professional safety
Effective recruitment and retention strategies
Comprehensive induction and orientation programs
Regular performance reviews and goal setting

(Lloyd et al., 2023.)

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Supporting Principles of Clinical Governance continued…

Mandatory training and clinical competency frameworks
Open communication and transparency
Commitment to continuous learning and improvement
Effective risk management strategies
Strong leadership and management support

(Lloyd et al., 2023.)

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Critical Thinking Question

A hospital is struggling with implementing its clinical governance framework. Staff members are resistant to change and unclear about their roles in the process.

What supporting principles of clinical governance might be missing, and how could they be implemented to improve the situation?

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Challenges to Clinical Governance Implementation

Lack of understanding of the concept
Unclear organizational expectations and outcomes
Insufficient infrastructure to support the vision
Inadequate staffing or expertise
Budget constraints
Lack of proper tools and time

(Lloyd et al., 2023.)

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Challenges of Clinical Governance Implementation continued…

Issues with accountability
Hierarchical conflicts
Resistance to change from staff
Difficulty in measuring and demonstrating improvements
Balancing standardization with the need for individualized care
Maintaining momentum and sustained commitment over time

(Lloyd et al., 2023.)

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Critical Thinking Question

Which of the following is often cited as the most significant challenge in implementing effective clinical governance?

a) Lack of financial resources

b) Resistance to change from staff

c) Inadequate technology infrastructure

d) Insufficient client involvement

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Key Elements of a Clinical Governance Framework

Partnering with consumers (central focus)
Involving clients and families in care decisions
Gathering and acting on client feedback

2. Governance, leadership, and culture

Clear organizational structure and responsibilities
Fostering a culture of safety and continuous improvement

(Lloyd et al., 2023.)

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Key Elements of a Clinical Governance Framework continued…

3. Client safety and quality improvement systems

Incident reporting and management
Regular audits and quality improvement initiatives

4. Clinical performance and effectiveness

Monitoring clinical outcomes
Implementing evidence-based practices

(Lloyd et al., 2023.)

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Key Elements of a Clinical Governance Framework continued

5. Safe environment for the delivery of care

Risk management strategies
Ensuring appropriate staffing and resources

(Lloyd et al., 2023.)

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Critical Thinking Question

A community health center is developing its clinical governance framework. They've included sections on risk management and policy development but are unsure what other elements are crucial.

What other key elements would you recommend they include, and why are these important for comprehensive clinical governance?

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References

Lloyd, S., Olley, R., Milligan, E., Aish, K., Barnes, A., Craig, J., Evans, J., ferrier, J.a., Khalil, H., Lakhani, A., Long, K., Murray, M., Sequeira, A.R. & Mackenzie-Stewart, R. (2023). Leading in Health and Social Care. Griffith University; Pressbooks. https://oercollective.caul.edu.au/leading-in-health-and-social-care/

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