Evidence map›Paper›PMID 26952249›Full record

ArticleElectronic physician2016

Implementing Clinical governance in Iranian hospitals: purpose, process and pitfalls.

Bahram Mohaghegh, Hamid Ravaghi, Russell Mannion, Peigham Heidarpoor, Haniye Sadat Sajadi

Open access · goldAbstract read
In one paragraph

Article in Electronic physician, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Ethical and legal aspects of patient's safety: a clinical case report.Journal of medical ethics and history of medicine · 2017
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 5 institutions in 2 countries.

Bahram MohagheghPh.D. of Health Services Management, Assistant Professor. Department of Public Health, School of Health, Qom University of Medical Sciences, Qom, Iran.
Hamid RavaghiPh.D. of Heath Policy, Assistant Professor, School of health Management and information sciences, Iran University of Medical Sciences, Tehran, Iran.
Russell MannionPh.D. of Economics and Social Policy, Professor, University of Birmingham, United Kingdom.
Peigham HeidarpoorSpecialist of Social Medicines, School of Medical Education, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Haniye Sadat SajadiPh.D. of Health Services Management, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, Iran.
Iran University of Medical Sciences · IRQom University of Medical Science and Health Services · IRShahid Beheshti University of Medical Sciences · IRTehran University of Medical Sciences · IRUniversity of Birmingham · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClinical governance as an approach to improving the quality and safety of clinical care has been run in all Iranian hospitals since 2009. This study aimed to provide a comprehensive overview of the processes and challenges faced in implementing clinical governance (CG) in acute-care hospitals in Iran.

methodsWe conducted an in-depth, qualitative, multi-case study using semi-structured interviews with a range of key stakeholders and review of relevant documents. This study was conducted in 2011-2012 in six governmental hospitals affiliated with Tehran University of Medical Sciences. The data were analyzed using framework analysis.

resultsThe interviewees, predominantly senior managers and nurses, expressed generally positive attitudes towards the benefits of CG. Four out of the six hospitals had a formal strategic plan to implement and execute CG. The emergent barriers to the implementation of CG included insufficient resources, the absence of clear supporting structures, a lack of supportive cultures, and inadequate support from senior management. The main facilitating factors were the reverse of the barriers noted above in addition to developing good relationships with key stakeholders, raising the awareness of CG among staff, and well-designed incentives.

conclusionsThere is a positive sense towards CG, but its successful implementation in Iran will require raising the awareness of CG among staff and key stakeholders and the successful collaboration of internal staff and external agencies.

Indexed as

acute-care hospitalsclinical governanceIranqualitative study

Identifiers

PMID26952249
PMCPMC4768931
OpenAlexW2424973023

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.