Evidence map›Paper›PMID 40336410›Full record

ArticleAfrican journal of primary health care & family medicine2025

Optimising clinical governance and risk management in resource-limited hospitals: A family medicine model.

Mergan Naidoo, Kimera T Suthiram

Abstract read
In one paragraph

Article in African journal of primary health care & family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

2 authors.

Mergan NaidooDepartment of Family Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban. Naidoom@ukzn.ac.za.
Kimera T Suthiram

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In resource-constrained healthcare settings, clinical governance and risk management are critical to improving patient outcomes and efficiently using limited resources. This article describes an innovative strategy implemented at a South African district hospital led by family physicians to optimise admissions and care prioritisation. The protocol established a designated high-care unit and admissions ward, ensuring that all new admissions were seen by a family physician, allowing family physicians to focus on the sickest patients requiring immediate intervention. This structured approach improved clinical oversight, reduced medical errors, and decreased morbidity and mortality. By efficiently allocating the expertise of family physicians, the intervention demonstrated measurable improvements in care delivery and patient safety. This model highlights the leadership role of family physicians in clinical governance and presents a scalable solution for similar resource-limited healthcare settings.

Indexed as

Clinical GovernanceFamily PracticeHospitals, DistrictRisk ManagementHealth ResourcesHumansPatient SafetySouth Africaadmissions protocolclinical governancedistrict hospitalsfamily medicinehigh-care unitpatient safetyresource-constrained healthcarerisk management

Identifiers

PMID40336410
PMCPMC12067574

What OpenQuestion holds

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LicenceCC BY
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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.