Background Quality improvement should be assigned as the main mission for healthcare providers. Clinical Governance (CG) is used not only as a strategy focusing on responding to public and government’s intolerance of poor healthcare standards, but also it is implemented for quality improvement in a number of countries. This study aims to identify the key contributing factors in the implementati...

This paper focus on the complexity of governing a regional EPR system. This is done directing the following research question: what is the role of the regional archetype governance organization, and how does it relate to the other actors in the ongoing infrastructuring process of establishing a regional EPR system? The paper builds on infrastructuring and boundary work theory. Empirically it fo...

OBJECTIVE To explore the use of external approaches to quality improvement in health care organizations, through a descriptive evaluation of the process and impact of external reviews of clinical governance arrangements at health care provider organizations in the National Health Service (NHS) in England. DESIGN A qualitative study, involving the use of face-to-face and telephone interviews w...

OBJECTIVE Clinical decision support (CDS) is a powerful tool for improving healthcare quality and ensuring patient safety; however, effective implementation of CDS requires effective clinical and technical governance structures. The authors sought to determine the range and variety of these governance structures and identify a set of recommended practices through observational study. DESIGN T...

Purpose – This study aims to give an account of how stakeholders in one NHS Hospital Trust responded to the clinical governance initiative, the effects on quality improvement and the practical accomplishment of legitimacy. Design/methodology/approach – Sociological new institutionalism theory was utilised to explain the political and ceremonial conformity that marked the clinical governance pro...

Research involving human embryos and reproductive materials, including certain forms of stem cell and genetic research, is a fast-moving area of science with demonstrated clinical relevance. Canada's current governance framework for this field of research urgently requires review and reconsideration in view of emerging applications. Based on a workshop involving ethics, legal, policy, scientifi...

BACKGROUND The aim of this study was to investigate how primary care groups (PCGs) were implementing clinical governance in their first year. METHODS A structured review was carried out of clinical governance plans of 57 PCGs in London. RESULTS There was considerable variation in content of the plans. Priority areas were generally based on national service frameworks and local health improv...

BACKGROUND The nurse practitioner is a growing clinical role in Australia and internationally, with an expanded scope of practice including prescribing, referring and diagnosing. However, key gaps exist in nurse practitioner education regarding governance of specialty clinical learning and teaching. Specifically, there is no internationally accepted framework against which to measure the qualit...