See also: [[Quality improvement]] > System by which the governing body, managers, clinicians, and staff *share responsibility* and accountability for the quality of care, continuously improving, minimising risks, and fostering an environment of excellence in care for patients and consumers "A framework through which healthcare organisations are accountable for continually improving the quality of their services and ensuring high standards of care by creating an environment in which excellence in clinical care will flourish." ***7 Pillars of clinical governance:*** - Clinical effectiveness and research - Audit - Risk Management - Education and training - Patient and public involvement - Information and IT - Staff and resource management | Pillar | Explanation | | -------------------------------------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | Clinical effectiveness & research | - Ensure you are giving the right thing to the right person at the right time in the right place<br>- Evidence-based approach for [[Writing a guideline\|guideline development]] <br>- [[Quality improvement#PDSA\|PDSA]] | | [[Quality improvement#Differences from research\|Audit]] | - Identifies and promotes good practice and can lead to improvement in service delivery and outcomes for users<br>- Provides information about the effectiveness of your service and contribute to its development | | Risk Management | - Implementing and complying with systems to understand, prevent, monitor, and minimise risks to patients and staff, and learn from mistakes and experience<br>- eg: checklists, M&M meetings, [[Complaints\|complaint mitigation]], reporting issues (RISKMAN or SLRS), critical incident reports and analysis, "no blame" culture | | Education & training | - Personal development and educating others<br>- Courses, conferences, assessing and appraising junior doctors (WBAs), department training, simulation, etc | | Patient and public involvement | - Any activities in which you directly engage with your clients in order to enhance the quality of the service that you provide<br>- eg liaising with patient representatives, patient satisfaction surveys and feedback, etc | | Information & IT | - Responsible use of clinical information and information systems<br>- Confidentiality <br>- Complying with the law<br>- Safe sharing of health information | | Staff and resource management | - Staff, Space, Stuff<br>- Ensure proper use of equipment and maintenance<br>- Appropriate training for using equipment <br>- Safety around medications<br>- Appropriate resus cubicles, etc<br>- Recruitment, appraisal, and assessment processes for staff and systems for [[Practitioner remediation]] |