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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.

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AICG Articles

Showing 1–10 of 109 articles
Sleeping on the job
Sleeping on the job

As another year is drawing to a close, many of us may be feeling burnt out – not least our healthcare professionals, who have continued to soldier on past the COVID-19 lockdowns of 2020 and 2021.  

Despite a parallel pandemic of healthcare worker fatigue, we have yet to see a positive cultural shift towards promoting the health and well-being of health professionals, and in offering ongoing support to an already stretched workforce.  To the contrary, we have recently heard of junior doctors being threatened with negative actions for sleeping during night shifts – including putting strategies in place ‘to increase the night time workload’ and furnishing them with ‘less comfortable chairs.’

Burnout
Culture
Psychological Safety
Workforce
Consciousness of Unconscious Bias
Consciousness of Unconscious Bias

In recent times, we have heard discourse in the media around unconscious bias – appearing (allegedly) in the banking sector, customer service, academia, or even amongst royalty - and unconscious bias in healthcare has also been reported on the basis of specific research findings.

Bias
Culture
Person-centred care
Capture the Complaint
Capture the Complaint

It has been reported that complaints relating to registered health practitioners increased over the 2021/2022 financial year. Further (and separately), in aged care, there was a total of 2,767 complaints made in the first quarter of 2022 and 2,642 complaints in the second quarter. Both these figures had also trended upwards compared with the corresponding numbers in 2021 (with 2,313 in the first quarter of 2021 and 2,261 in the second quarter).

Aged care
Continuous improvement
Disability
Healthcare
Incident management
Person-centred care
Quality
Safety
Clinical variation in clinical governance
Clinical variation in clinical governance

Variations in the way care is accessed or delivered, and in clinical outcomes, can be highly informative. It may be that such variations are warranted or expected (for example, the surge in telehealth at the outset of the pandemic, or in the number of infection-related deaths) or may reflect person-centredness and individual choice. However sometimes variations may be ‘unwarranted’ and unveil weaknesses in the quality of care, or worse still, herald the risk of harm.

Quality
Reporting
Standards
Handy lessons on training
Handy lessons on training

One practice the COVID-19 pandemic highlighted from the outset was the importance of hand hygiene in infection prevention and control – a practice that in the past has often been approached with a degree of complacency.  Some of the literature concludes that compliance with hand hygiene has improved during the course of the pandemic, while other studies suggest it has not.

Infection control
Training
Four clinical governance rabbit holes to avoid
Four clinical governance rabbit holes to avoid

All human service sectors experience turning points. The 1990s was a decade of revelation about poor healthcare quality, identified and reported in major studies of adverse events and public inquiries across the world. The initial shock waves evolved into a care safety revolution, supported by the introduction of clinical governance. A quarter of a century later, the outcomes of the Aged Care Quality and Safety Royal Commission is having a similar impact in aged care, with a stream of legislation and innovations challenging aged care providers to re-set their approach to creating and maintaining quality care.

In this webinar, Cathy Balding will talk us through four clinical governance rabbit holes that have been observed in healthcare and how avoiding them can accelerate aged care clinical governance effectiveness.

Quality
How we conduct ourselves
How we conduct ourselves

The concept of clinical governance includes how we conduct ourselves as individuals – that is, our ‘personal conduct’ in ‘controlling, regulating, directing or overseeing’ the ‘assessment and management of a person’s health to support optimal outcomes’, where ‘outcomes’ includes the ‘experience of care’.

Professional Conduct
Regulatory reform
Workforce
Simulating safety
Simulating safety

Simulation in healthcare has traditionally been applied in the context of education and training. Whilst robust education and training (which may be achieved through simulation) will ultimately improve safety and quality, simulation can also be used much more broadly - and directly - as a tool in enhancing safety and quality in care delivery.

Quality
Safety
Simulation
Workforce
Changing how we change
Changing how we change

Continuous improvement is the essence of clinical governance. But continuous improvement requires change, and change can be confronting. As we predictably move towards a more digitised world - including in healthcare, and aged care – change is also inevitable.

Change management
Continuous improvement
Workforce
The impact of aged care reform on clinical governance: A summary
The impact of aged care reform on clinical governance: A summary

Regulation can support clinical governance.  This is particularly palpable in aged care reform, where new legislation and revised standards shine a spotlight on clinical governance in way that has not been done in the Australian aged care system before.

Many of the provisions introduced by the Aged Care and Other Legislation Amendment (Royal Commission Response) Act 2022 will enhance clinical governance in aged care – this is how.

Regulatory reform
Standards
Showing 1–10 of 109 articles
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