...Maureen Alice Flynn; Niamh M. Brennan Purpose The paper examines interviewee insights into accountability for clinical governance in high-consequence, life-and-death hospital settings. The analysis draws on the distinction between formal “imposed accountability” and front-line “felt accountability...

...Maureen Alice Flynn; Niamh M. Brennan Purpose While clinical governance is assumed to be part of organisational structures and policies, implementation of clinical governance in practice (the praxis) can be markedly different. This paper draws on insights from hospital clinicians, managers...

... as planning and provision are the responsibility of 20 government-funded, local district health boards (DHBs) which own and manage public hospitals (Gauld, 2012). In 2012, incorporated into a study of clinical governance and leadership in the New Zealand public health sector, we asked professionals in public...

... setting. Governance Leadership Communication Healthcare Clinical governance Quality healthcare Factors influencing effective corporate governance of healthcare quality have increasingly come under scrutiny as a board’s role in ensuring better patient outcomes is made explicit...

... and minimise these risks with robust clinical governance processes. Originality/value This research is the first that we are aware of that identifies the impact of frequent leadership turnover in the health sector on quality management. Sandra Leggat can be contacted at: S.Leggat@latrobe.edu.au...

... to hidden issues facing nurses within a cycle of implicitly rationing care, caught between wanting to provide care to their patients, meeting the organisation’s directives and ensuring professional safety. Rethinking how care is measured to reflect its unpredictable nature is essential. Clinical...

...Robin Gauld; Simon Horsburgh; Maureen Alice Flynn; Deirdre Carey; Philip Crowley Purpose Clinical governance (CG) is an important foundation for a high-performing health care system, with many countries supporting its development. CG policy may be developed and implemented nationally, or devolved...

...Dr Robin Gauld and Dr Simon Horsburgh; Nomie Eriksson; Sandor Ujvari Purpose – Clinical governance and leadership concepts can lead to more or less successful implementations of new clinical practice. The purpose of this paper is to examine how Fiery Spirits, as institutional entrepreneurs can...

...Dr Robin Gauld and Dr Simon Horsburgh; Isabelle Brault; Jean-Louis Denis; Terrence James Sullivan Purpose – Introducing change is a difficult issue facing all health care systems. The use of various clinical governance levers can facilitate change in health care systems. The purpose of this paper...

...Dr Robin Gauld and Dr Simon Horsburgh; Maureen A. Flynn; Thora Burgess; Philip Crowley Purpose – The purpose of this paper is to present a description of the Irish national clinical governance development initiative and an evaluation of the initiative with the purpose of sharing the learning...

... clinicians directly in redesigning the systems and implementing change is seen as a means to achieve these aims. Clinical governance has become the policy vehicle through which the aims of service quality are currently being channelled, to manage poor professional performance and to address wide differences...

...Eleonora Karassavidou; Niki Glaveli; Kostas Zafiropoulos Purpose The purpose of this paper is to consider organisational climate as the vehicle to get an understanding, map and enhance the appropriate organisational culture for good clinical governance (CG). Based on this assertion, the purpose...

... Publishing Limited 2010 Information disclosure Clinical governance Performance management Surgery Heart We turn next to Pawson's (2002) programme theory and apply it to illuminate the processes involved in disclosure in cardiac surgery. “Programme theories” can reveal...

...” who are important for both the hospital organisation and the state. Belgium Hospitals Clinical governance Organizational change The changing relationship between hospital management and clinical governance receives ample attention. The role of the hospital management has recently been...

... Emerald Group Publishing Limited 2009 National Health Service Service improvements Patient care Clinical governance United Kingdom A number of commentators have highlighted the potential for clinical microsystems (CMS) to aid improvement within healthcare systems and produce high...

...John Storey; David Buchanan Purpose The purpose of this article is to advance critical debate in relation to a very critical issue in current healthcare management – namely “patient safety”. This is currently a very high profile issue. In its various guises such as clinical governance, integrated...

...‐driven goals. Individualized consideration includes mentoring, coaching, continuous feedback, and linking the individual's current needs to the organization's mission (Bass, 1990). © Emerald Group Publishing Limited 2008 Transformational leadership Transactional leadership Clinical...

...” initiatives such as RCA. Rick Iedema can be contacted at: r.iedema@uts.edu.au © Emerald Group Publishing Limited 2008 Clinical governance Data analysis Health services Cause and effect analysis Service failures As far as incident analysis in particular is concerned, a number...

... understandings of how organizations work. © Emerald Group Publishing Limited 2005 Social processes National Health Service Critical thinking Clinical governance Postmodernism, on the other hand, is beset not by Reason but by “irreducible indeterminacy”. Meaning and understanding...

... facilitate evidence‐based commissioning. As such, they are relevant to the current requirement for clinical governance because they can help in building a “coherent strategy of quality improvement” (Ayres et al., 1998). In this article we outline some of the background to why such models...