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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Clinical tools for use in practice—such as medicine reconciliation charts, diagnosis support tools and track-and-trigger charts—are popular in health and human services. However, they are given relatively little attention to how to optimise their design.
Trying to improve care in human services can be overwhelming. We start out with great aspirations to fix a care quality issue. But as we get closer to the problem it appears to loom ever larger, and we wonder what we’ve got ourselves into. Most care quality issues are entrenched and multifaceted and can’t be solved by a single solution or big-bang change. Often our initial enthusiasm wanes and we default to revising the procedure and running training because everything else seems too hard. Essentially, we’ve wasted time and effort on maintaining the problem, rather than finding the solution.
This Perspectives Brief from the Australian Healthcare and Hospitals Association’s Deeble Institute examines approaches to observations of the Royal Commission into Aged Care Quality and Safety. The authors of this Perspectives Brief note that the Royal Commission ‘identified the need to improve the delivery of health care to meet the needs of older persons and their carers’ and that the ‘greater involvement of older persons and their carers in research to develop solutions was recommended.’
Striking a balance between patient safety and professional autonomy is a complex issue that requires a multifaceted approach. Multiple challenges stand in the way of a balanced approach, such as...
In this Lightbulb Moment webinar, Dr Cathy Balding and her guest, Louise McKinlay (CEO, Safer Care Victoria), as they discuss Louise's "ah-ha!" moment about joining the quality dots.
Negotiation is part of everyday life, and never more so than in health and human services. People in quality and clinical governance roles in particular, often don’t have a lot of formal power and rely heavily on relationships and influence to achieve their objectives.
Engagement surveys show a never-before-seen level of fatigue and burn-out. The last results of the National Health Service (NHS) national staff survey showed 46.8% of staff have felt unwell as a result of work-related stress in the previous 12 months. Attrition and turnover are at near all-time highs.
How many aged care residents receive care based on the best available evidence? We all want this for the people we serve – but what’s really happening?
This ‘CareTrack’ paper reports on the first Australian study of adherence to evidence-based care for people in long-term care using a standardised method. The study examined the care received by 294 residents across 27,585 care encounters in 25 long-term care (aged care) facilities.
Dignity in healthcare, and particularly in the care of the elderly, is seen as a basic human right, as is the right not to be harmed in the course of care. But are these rights counteracting each other?
This article explores the relationship between the management of clinical risk and the provision of dignified care to older people on acute hospital wards in the NHS. It shows that the care relationship between staff and their patients can be negatively affected by risk management practices that seek to eliminate the inherent uncertainties of clinical care. Ironically, it seems the management of clinical risk can pose a challenge to maintaining dignified care for older people.
In this Lightbulb Moment webinar, Dr Cathy Balding interviewed Allison Patchett to discuss her "ah-ha!" moment about quality and efficiency - symbiotic or siloed?
