ArticleBMJ open2017
Rethinking clinical governance: healthcare professionals' views: a Delphi study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Understanding how and why audits work in improving the quality of hospital care: A systematic realist review.PloS one · 2021Pooled it
- The challenges of implementation of clinical governance in Iran: a meta-synthesis of qualitative studies.Health research policy and systems · 2019Pooled it
- Elements of healthcare delivery required to facilitate the clinical governance of hospital pharmacy services: a document review.Health research policy and systems · 2025Review
- Exploring Workplace Learning in Surgical Practice: How Mindset and Motivation Are Associated With Self-Regulated Learning Behaviors.Perspectives on medical education · 2025Article
- The importance and feasibility of hospital interventions to prevent and manage patient aggression and violence against physicians in China: a Delphi study.Human resources for health · 2024Article
- Article
- Development of a tool to assess environmental factors to support home care - a Delphi study.BMC geriatrics · 2023Article
- Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020.BMJ open quality · 2023Article
- Grounded accountability in life-and-death high-consequence healthcare settings.Journal of health organization and management · 2021Article
- Mapping clinical governance to practitioner roles and responsibilities.Journal of health organization and management · 2020Article
- Clinical governance programme in patients with acute coronary syndrome: design and methodology of a quality improvement initiative.Open heart · 2020Observational
- Current Practices and Existing Gaps of Continuing Medical Education among Resident Physicians in Abha City, Saudi Arabia.International journal of environmental research and public health · 2020Article
- Landscape analysis of healthcare policy: the instrumental role of governance in HIV/AIDS services integration framework.The Pan African medical journal · 2020Article
- To scan or not to scan? Examining the controversial issue of performing neuroimaging in adolescent patients presenting to a tertiary psychiatric inpatient unit.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2020Article
- Changing patient safety culture in China: a case study of an experimental Chinese hospital from a comparative perspective.Risk management and healthcare policy · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveAlthough the guiding principle of clinical governance states that healthcare professionals are the leading contributors to quality and safety in healthcare, little is known about what healthcare professionals perceive as important for clinical governance. The aim of this study is to clarify this by exploring healthcare professionals' views on clinical governance.
designBased on a literature search, a list of 99 elements related to clinical governance was constructed. This list was refined, extended and restricted during a three-round Delphi study. SETTING AND
participantsThe panel of experts was formed of 24 healthcare professionals from an academic hospital that is seen as a leader in terms of its clinical governance expertise in the Netherlands.
main outcome measuresRated importance of each element on a four-point scale.
resultsThe 50 elements that the panel perceived as most important related to adopting a bottom-up approach to clinical governance, ownership, teamwork, learning from mistakes and feedback. The panel did not reach a consensus concerning elements that referred to patient involvement. Elements that referred to a managerial approach to clinical governance and standardisation of work were rejected by the panel.
conclusionsIn the views of the panel of experts, clinical governance is a practice-based, value-driven approach that has the goal of delivering the highest possible quality care and ensuring the safety of patients. Bottom-up approaches and effective teamwork are seen as crucial for high quality and safe healthcare. Striving for high quality and safe healthcare is underpinned by continuous learning, shared responsibility and good relationships and collaboration between healthcare professionals, managers and patients.
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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.