Clinical governance

Clinical governance is a framework through which healthcare organizations are accountable for continuously improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish. For the ICU clinical governance requires the culture, the systems and the support mechanisms to achieve good clinical performance and ensuring that quality improvement is embedded into the unit's routine. This includes action to ensure risks are managed, adverse effects are rapidly detected, openly investigated and lessons learned, good practice is rapidly disseminated and systems are in place to ensure continuous improvements in clinical care. There must be systems to ensure all clinicians have the right education, training, skills and competencies to deliver the care needed by patients. There must be systems in place to recognise and act on poor performance.

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