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Access a range of articles and resources written by clinical governance experts and search our carefully curated list of safety and quality journal articles and reports.

AICG articles, resources and curated journals and reports are available to all AICG members. Members must be logged in, in order to access all content. Users who are not AICG members will only be able to access publicly available articles. 

AICG Articles

Showing 1–10 of 41 articles
Practical tips for developing a culture of care safety
Practical tips for developing a culture of care safety

What is a ‘culture of safety’ in the context of care quality? How does it help? Why is it important? While ‘safety culture’ trips off the tongue,  ‘culture’ is often nebulous in practice; and it can be unclear how to improve it or how the shift occurs.

Boards
Clinical governance
Leadership
Safety Culture
What is ‘everyday’ Clinical leadership – and how does it make a difference to care?
What is ‘everyday’ Clinical leadership – and how does it make a difference to care?

Effective clinical leadership has long been an aspiration for acute care services. With the establishment of clinical governance in aged, disability and community care, these sectors are increasingly focused on how to develop leaders for quality clinical care. This AICG Paper explores the concept of clinical leadership for quality care as an ‘everyday’ responsibility across human service organisations.

Clinical governance
Clinical leadership
Leadership
Quality
'Everyday' Clinical Leadership: A Foundation for Successful Clinical Governance

Clinical leadership has long been an aspiration for acute care services. When wielded effectively, it is a key lever in creating consistently high quality care, and can also contribute to greater job satisfaction. But clinical leadership can also be just another buzz term, not dissimilar to ‘person-centred,’ as something everyone likes to think they both understand and enact. As with ‘person-centred’ care, clinical leadership is easy to talk about, powerful when effective, but hard to get right in practice.

Leadership
Public
How to maximise Board Quality Committee effectiveness
How to maximise Board Quality Committee effectiveness

Based on a review of the literature, and interviews with experts and hospital leaders (board members, administrators, and clinical leaders), this white paper identifies strategies and practices that differentiate ineffective board quality committees from those that truly make a difference.

Boards
Clinical governance
Committees
Leadership
Quality
A new take on spreading innovation: global guidance, local know-how
A new take on spreading innovation: global guidance, local know-how

Care and service improvement requires the ability to make successful local change, then to transfer this for implementation in other departments and services, or across a whole organisation or sector. However, research shows that highly institutionalised and complex healthcare systems find the spread of transformation difficult, being naturally slow to adapt, innovate, and improve. Change therefore usually happens incrementally and inconsistently, with successful innovation resembling a journey rather than a single event. This is characterised by processes of adoption, implementation, sustaining, spreading, and scaling up.

Change management
Improvement
Leadership
The five organisational barriers blocking your improvement efforts
The five organisational barriers blocking your improvement efforts

Improving care and services is an ongoing challenge, but what barriers to success do the most damage? The results of this systematic review of 33 qualitative studies identify key organisational characteristics of healthcare organisations that were struggling to improve care. These organisations were characterised by below-average patient outcomes (eg. mortality) or other quality of care metrics (eg. Patient Safety Indicators).

Clinical governance
Leadership
Management
Quality improvement
IHI ‘Governance of Quality Assessment Tool’
IHI ‘Governance of Quality Assessment Tool’

This tool provides a ‘ready reckoner’ for boards wanting to test if they’re focused on the right things to support quality care.

Boards
Clinical governance
Leadership
Point of care
Quality improvement
A handy checklist for evidence-based consumer safety system components
A handy checklist for evidence-based consumer safety system components

Many years on from the Mid Staffordshire report, avoidable patient harm continues to occur in the UK (and the rest of the world). There continue to be new inquiries and reviews into serious patient safety scandals, all with recurring themes, including failure to listen to patients or learn from previous investigations, a corrosive blame culture, a lack of effective leadership and an unresponsive regulatory framework.

Clinical governance
Clinical risk
Leadership
Safety
When board quality focus goes up, so does quality performance
When board quality focus goes up, so does quality performance

The Institute of Medicine (IOM) reports ‘To Err Is Human’ and ‘Crossing the Quality Chasm’ prompted healthcare leaders to address the patient safety crisis by advancing the systems, teamwork and improvement science needed to deliver safer care to patients. 

Clinical governance
Clinical risk
Leadership
Risk management
Safety
Questions to ask when forming a Board Quality Committee
Questions to ask when forming a Board Quality Committee

This list of questions, developed by Jim Reinertsen, MD, is designed to help think through the key decisions involved with forming a Board Quality Committee and formalizing the processes by which the committee will do its work.

Committees
Culture
Engagement
Leadership
Satisfaction
Showing 1–10 of 41 articles
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