Clinical Governance: Learning and changing practice

Clinical governance: learning and changing practice.

CONTEXT This paper describes a very simple, non-threatening method for improving communication and sharing learning points. OBJECTIVE To test whether sharing anonymised reporting of problems and helpful hints is acceptable and useful to staff. DESIGN A pink slip (pinkie) was designed and made available in every clinic venue. All staff were asked to write about any episodes where practice wa...

Organisational strategies for changing clinical practice: how trusts are meeting the challenges of clinical governance.

OBJECTIVES To describe the use, perceived effectiveness, and predicted future use of organisational strategies for influencing clinicians' behaviour in the approach of NHS trusts to clinical governance, and to ascertain the perceived benefits of clinical governance and the barriers to change. DESIGN AND SETTING Whole population postal survey conducted between March and June 1999. SUBJECTS C...

Clinical governance in a changing NHS

The managment of metastatic neuroblastoma brings out extremes of view in paediatric oncologists. There is black pessimism from those who feel that little if any progress has been made and question the value of more than gestural or palliative treatment. This is in contrast to the excessive zeal and optimism of others who enthusiastically publish premature reports of 'advances' in survival. Scre...

Changing Professional Practice Theory and Practice of Clinical Guidelines Implementation

Health care professionals may have difficulties in keeping up-to-date with the overwhelming and fast growing volume of new scientific evidence for good clinical practice. Often there is an unacceptable time lag between the time of having a valid research basis for a specific procedure and the point when the procedure has been adopted in practice. This may lead to suboptimal care. Clinical guide...

Clinical Governance: Costs and Benefits