Document Detail

Principles to govern clinical governance.
MedLine Citation:
PMID:  11133123     Owner:  NLM     Status:  MEDLINE    
Clinical governance--a new NHS concept that seeks, through clinical guidelines and national service frameworks, to encourage and enforce compliance with nationally-devised evidence based clinical policies--has manifold and complex implications. This paper reasons that clinical governance is actually a means to promote excellent practice of a particular kind and that non-compliance does not necessarily equate to bad practice. Therefore, separate means must be utilized to address bad practice. The paper proposes and supports in turn a series of principles to ensure that the potential benefits of clinical governance are maximized and the potential harms are diminished. A similar set of principles is proposed to help govern the management of bad practice. The complementary conclusions of the reasoning are that a) doctors should willingly embrace clinical governance and b) the NHS should not rigidly enforce it. However, as clinical governance restricts clinical freedom and patient choice it is important that ethical principles, such as those proposed, are followed in order to avoid or manage some unhappy conflicts.
C W Onion
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of evaluation in clinical practice     Volume:  6     ISSN:  1356-1294     ISO Abbreviation:  J Eval Clin Pract     Publication Date:  2000 Nov 
Date Detail:
Created Date:  2000-12-29     Completed Date:  2001-02-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9609066     Medline TA:  J Eval Clin Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  405-12     Citation Subset:  IM    
Wirral Health Authority, St Catherine's Hospital, Birkenhead, UK.
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MeSH Terms
Evidence-Based Medicine*
Great Britain
Guideline Adherence*
Medical Audit*
Social Responsibility
State Medicine / standards

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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