Essential components of clinical governance Clear management arrangements

Eveyone must know who they are accountable to, the limits of their decision making and who must be informed in the decision making process.

Quality improvement

Through the process of clinical audit the standard of practice is monitored and changes effected to improve quality.

Clinical effectiveness

Evidence based practice is essential where evidence exists to support clinical decisions. Protocols and guidelines standardise practice.

Risk assessment and management

A register of clinical risks should be kept, to which new risks are appended as they are assessed. An action plan should be developed for managing each risk.

Staff and organisational development

Including continued professional education, clinical supervision and professional regulation.

Patient input

Complaints monitoring should be used to learn lessons and improve practice within ICU. Patient and relative surveys can be used to adapt quality initiatives to the needs of patients.

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