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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 43 articles
What is the duty of candour?
What is the duty of candour?

The concept of candour is not new. Being candid means being honest, which includes ‘complete openness and transparency.’ Exercising candour in healthcare is challenging for multiple reasons.

Lessons from overseas
Open Disclosure
Regulatory reform
Cancel the cover culture
Cancel the cover culture

Medical error remains rife. The Australian Institute of Health and Welfare reported 26,995 potentially avoidable deaths in 2020 among people under the age of 75 in Australia. While this ‘age-standardised’ rate has been the lowest reported in 10 years, there is clearly room for improvement.

Culture
Patient safety
Psychological Safety
Person-centred decision-making in the face of impaired decision-making
Person-centred decision-making in the face of impaired decision-making

Authentic ‘person-centred’ care involves truly understanding a person’s preferences, wishes and values.  But what if that person is no longer able to decide what they want, or communicate this?  In Australia, most states and territories (with the exception of NSW and Tasmania) have enacted legislation to support the creation of, and reliance on, advance care directives (also known by other names, such as advance care plans).

Advance Care Directives
Consent
Person-centred care
Substitute Decision-Making
Clinical governance in clinical trials
Clinical governance in clinical trials

Robust clinical trials drive learning, innovation and hence continuous improvement in evidence-based care.  Not only do clinical trials promote good clinical governance in this way, but good clinical governance must underpin clinical trials. 

Clinical trials
Frameworks
Healthcare
Research
Standards
The COVID clinical governance fallout
The COVID clinical governance fallout

Prof Andrew Wilson walks us through and reflects on some of the clinical governance challenges that emerged and were observed during peak COVID times. What areas were impacted, is there an indication of recovery, and what does it mean for the future of clinical governance? 

COVID-19/Infection control
Frameworks
Where did clinical governance start, and where are we at now?
Where did clinical governance start, and where are we at now?

The term clinical governance was first coined in the context of the United Kingdom’s National Health Service - specifically, in a white paper endorsed by then Prime Minister Tony Blair entitled ‘The new NHS: modern, dependable.’ Now, 25 years later – where are we at?
 

Aged care
Healthcare
Person-centred care
Why saying ‘sorry’ is important to clinical governance
Why saying ‘sorry’ is important to clinical governance

Saying sorry is an important element of open disclosure and psychological safety – and therefore clinical governance. It is also an extremely powerful yet simple way to make people ‘feel better’. Saying sorry conveys empathy, compassion, and respect towards the person receiving the apology, not to mention remorse. It acknowledges an acceptance that your actions (or words) can adversely impact others, and is the opposite of defensiveness (which is counter-productive). Apologising is not taking the blame, nor is it an admission of liability. Saying sorry is about being accountable, accepting responsibility, and restoring trust in a relationship.

Compassion
Culture
Open Disclosure
Psychological Safety
Self-reflection
Let’s not be tone-deaf
Let’s not be tone-deaf

It’s not just what we say, it’s how we say it. We know effective communication is key to patient safety and quality, and person-centred care. But it is also crucial to psychological safety and the extent to which we support each other in speaking out, or in asking questions. This in turn will impact patient care.

Compassion
Negative behaviours
Psychological Safety
Self-reflection
Speaking Out
Better the boundary
Better the boundary

Professional boundaries in healthcare delineate the therapeutic relationship. They have been defined as ‘parameters that describe the limits of a relationship in which one person entrusts their welfare to another and to whom a fee is paid for the provision of a service’ - or, more broadly, as the ‘edge of appropriate clinical care’.

Boundaries
Burnout
Person-centred care
Professional Conduct
Speaking up like pilots
Speaking up like pilots

In the context of aviation, Bienefeld and Grote defined ‘speaking up’ as ‘an upward voice directed from lower to higher status individuals within and across teams, which challenges the status quo, to avert or mitigate errors.’ 

Lessons from other industries
Safety
Speaking up
Showing 1–10 of 43 articles