Resources

Home/Resources

Latest articles and information

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 58 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
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
Train to change
Train to change

As at July 2022, there were in excess of 642,000 health practitioners registered with the Australian Health Practitioner Regulation Agency (AHPRA).  In addition to this cohort, there are also non-registered health professionals who play an essential role in the delivery of care.

Culture
Training
Workforce
What is cultural safety?
What is cultural safety?

"It has been 14 years since all governments in Australia signed the National Agreement on Closing the Gap, yet Aboriginal and Torres Strait Islander Communities are still facing barriers to achieving equitable outcomes in health and wellbeing. Despite an abundance of good intentions, healthcare settings are still places where deficits in cultural safety often drive poorer outcomes for Aboriginal and Torres Strait Islander people."

Culture
Indigenous Health
Person-centred care
Safety
What is ‘Systems Thinking’, and how is it relevant to clinical governance?
What is ‘Systems Thinking’, and how is it relevant to clinical governance?

In any ‘system’ – essentially, a collective of different moving parts – we must understand how the parts affect the whole. There are many ways to define ‘Systems Thinking’ – a concept that was first coined by Barry Richmond:

“As interdependency increases, we must learn in a new way. It’s not good enough simply to get smarter and smarter about our particular “piece of the rock.” We must have a common language and framework for sharing our specialized knowledge, expertise and experience with “local experts” from other parts of the web… In short, interdependency demands Systems Thinking. Without it, the evolutionary trajectory that we’ve been following since we emerged from the primordial soup will become increasingly less viable.”
 

Modelling
Systems Thinking
Beating Burnout: Straight from the Horse’s Mouth
Beating Burnout: Straight from the Horse’s Mouth

How does practitioner burnout impact care, and therefore clinical governance?  As Dr Stephen Parnis put it, from his perspective - and in his words - it “laid siege to my energy and my empathy”; “[D]ecisions and procedures that are usually second nature to me, now require considerable effort and cause more angst than they should”; and “[W]e are less efficient, and we are much more likely to make mistakes.”

Burnout
Open Access Resources
Psychological Safety
Workforce
Showing 1–10 of 58 articles
subscribe to receive the latest updates and articles