Why do we need clinical governance ?
- Customer-centric
- Reducing the occurrence of mistakes by treatment staff
- optimal use of organizational resources (human - equipment - financial)
- Increasing public trust in hospital services
- Complying with the goals of health organizations (expected by society and the government)
Features of clinical service governance system :
- Comprehensiveness in performance
- Ability to meet the daily needs of the health sector
- Widespread employment of hospital staff (both clinical and non-clinical)
- Responding to the current problems of the service delivery system (removing annoying processes)
- Ability to implement with minimal external support (possibility of empowering employees to implement the model)
- Flexibility (ability to adapt to hospital conditions and policies in Iran and future changes in the country's health policies)
The clinical governance structure is based on seven pillars :
data usage :
- Use of information technology
- Comprehensive information management
- Creating and providing information for patients
- Communication with future programs
Risk management:
- Setting the scene
- Risk identification
- Risk analysis
- Risk assessment
- Strategy to reduce, eliminate or transfer risk
- Continuous review and monitoring
- Effective communication and consultation
Education and learning:
- Allocation of training time for employees
- Specific strategy and action plan
- Appropriate and relevant access
- Education management
- Using PDPS results for planning education
- Participation of companions and patients
- Patient counseling and service management
- The patient as a partner
- A culture of flexibility and participation
Human resource management:
- Updated policies, procedures and contracts
- Monitoring the performance of employees
- Staff development
Clinical examination:
- It regularly reflects what is being done
- Introducing excellent activities and units
- realistic
- Check the desired sources
Clinical efficacy:
Using the best knowledge, derived from research, clinical experience to achieve the desired process and results of patient care (clinical effectiveness)
Clinical effectiveness is possible through the following set of quality improvement activities:
- Scientific evidence and up-to-date clinical solutions, guidelines and scientific standards to determine and provide the best method of care and treatment.
- Quality improvement tools (such as audit cycles, clinical cycles, rapid quality improvement cycles, etc.)
- Evaluation of documents and . . In order to determine the cost effectiveness of services and cares