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An Introduction to Clinical Governance and Patient Safety - Oxford Scholarship Online
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An Introduction to Clinical Governance and Patient Safety

Elizabeth Haxby, David Hunter, and Siân Jaggar

Abstract

Clinical governance is integral to healthcare and all doctors must have an understanding of both basic principles, and how to apply them in daily practice. Within the Clinical Governance framework, patient safety is the top priority for all healthcare organizations, with the prevention of avoidable harm a key goal. Traditionally, medical training has concentrated on the acquisition of knowledge and skills related to diagnostic intervention and therapeutic procedures. The need to focus on non-technical aspects of clinical practice, including communication and team working, is now evident; ensur ... More

Keywords: clinical governance, patient safety, avoidable harm, clinical practice, risk management, resource effectiveness, knowledge management

Bibliographic Information

Print publication date: 2010 Print ISBN-13: 9780199558612
Published to Oxford Scholarship Online: January 2011 DOI:10.1093/acprof:oso/9780199558612.001.0001

Authors

Affiliations are at time of print publication.

Elizabeth Haxby, editor
Lead Clinician in Clinical Risk, Royal Brompton and Harefield NHS Foundation Trust, London, UK

David Hunter, editor
Consultant Anaesthestist & Intensivist, Royal Brompton and Harefield NHS Foundation Trust, London, UK

Siân Jaggar, editor
Consultant Anaesthetist, Royal Brompton and Harefield NHS Foundation Trust, London, UK

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Contents

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Front Matter

Title Pages

Foreword

Contributors

Chapter 1 Clinical governance and patient safety: An overview

Sarah Hammond

Section 1 Risk management

Chapter 2 Risk awareness

Suzette Woodward

Chapter 3 Risk identification

Elizabeth Haxby and Richard Hartopp

Chapter 4 Risk assessment

Alison Lovatt and Mel Johnson

Chapter 5 Risk control options

Mary Lane

Chapter 6 Risk assurance

Elizabeth Haxby

Chapter 7 Complaints and claims

Ruth Symons

Chapter 8 Risk management standards

Gaynor Pickavance

Section 2 Clinical effectiveness

Chapter 9 Evidence-based medicine

Henry McQuay

Chapter 10 National Institute for Health and Clinical Excellence (NICE), National Service Frameworks (NSF), and governance

Peter Littlejohns and Augustine J Pereira

Chapter 11 Clinical guidelines

Gillian C Leng and Chris Connell

Chapter 12 Clinical audit

David Hunter

Chapter 13 Research governance

Paul Farquhar-Smith

Chapter 14 New interventional procedures

Carole M Longson and Mirella Marlow

Chapter 15 Integrated care pathways

Helen Goodman

Section 3 Strategic effectiveness

Chapter 16 The Trust Board

Paul Williams OBE

Chapter 17 Strategy and strategic planning: Setting the direction at a Trust level

Gareth Goodier

Chapter 18 Putting the business into the NHS

Heather Shearer

Chapter 19 Clinical governance at service level

David James

Chapter 20 Processes and policies: Directorate level

Catriona Ferguson

Chapter 21 Improving quality and safety

Heather Shearer

Chapter 22 Performance management of acute and specialist trusts

Richard Connett

Section 4 Resource effectiveness

Chapter 23 HR management

Carol Johnson

Chapter 24 Improving working lives

Andrew Rochford

Chapter 25 Revalidation

Judith Hulf and Kirstyn Shaw

Chapter 26 Personnel: Poor clinical performance

Jeremy Mitchell

Chapter 27 Facilities organization: The hidden hospital

Maria Cabrelli

Chapter 28 Equipment management

Stephen Squire

Section 5 Learning effectiveness

Chapter 29 Induction: At an organizational level

Les Gemmell

Chapter 30 Training and organization

Lesley Bromley

Chapter 31 Continuing professional development

Siân Jaggar

Chapter 32 Competence

Ian Runcie

Chapter 33 An introduction to the concepts of knowledge management

David Greaves and Peta Jane Eastland

Chapter 34 Clinical Information Systems

Simon Finney

Section 6 Patient experience

Chapter 35 Patient and public involvement (PPI)

Rachel Matthews

Chapter 36 Patient Advice and Liaison Service

Eve Cartwright

Chapter 37 Patient and public consultation

Jilla Bond and Tom Magill

Chapter 38 User feedback/surveys

Alison Wright

Chapter 39 Patient choice

Ruth Robertson

Chapter 40 Patient information

Claire Read

Chapter 41 Self-management and the Expert Patient

Deborah Trenchard

Section 7 Communication effectiveness

Chapter 42 Communicating safety: With the public and the media

Murray Anderson-Wallace

Chapter 43 Relationships and communication with NHS Commissioners

Nicholas Hunt

Chapter 44 Healthcare networks

Angela Walsh

Chapter 45 Trust boards structure, responsibilities, and communication

Nick Coleman

Chapter 46 Communication with staff

Robert Craig

Chapter 47 Communication between patients and healthcare staff

Elizabeth Haxby

Section 8 Fundamental principles

Chapter 48 Accountability, safety, and professionalism

Edwin Borman

Chapter 49 Team working

Allan Goldman and Guy Hirst

Chapter 50 Leadership

Nelson Phillips

Chapter 51 Safety, systems, complexity, and resilience: What makes organizations safe?

Kieran Sweeney and Mike D Williams

End Matter

Index