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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 1–8 of 8 articles
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
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
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
When silence is not golden
When silence is not golden

In childhood, we shun the ‘dibber dobber’, or the ‘tattletale’. As we mature into adulthood, we learn to distinguish ‘dobbing’ from an acceptable calling out of wrongdoing. However, in the context of care giving (whether healthcare or otherwise), speaking up is crucial to safety.

Culture
Psychological Safety
Speaking up
Breaking bad behaviour
Breaking bad behaviour

Negative behaviours between healthcare workers are unfortunately common, and past research has demonstrated high levels of psychological distress amongst Australian doctors - putting their psychological safety at stake. Sadly, bad behaviours tend to cascade down the medical hierarchy, even impacting students.

Collaboration
Culture
Leadership
Negative behaviours
Psychological Safety
Teamwork
Workforce
Optimised workforce, optimised outcomes
Optimised workforce, optimised outcomes

Although boards are ultimately accountable, and responsible for oversight and strategic direction, clinical governance begins and ends with those who deliver clinical care. We have previously suggested that ‘culture impacts how individuals feel in workplace - and in turn the manner in which they conduct themselves.’ Do they feel supported in the workplace - or are they afraid to seek help? Do they feel safe to speak up if they have any concerns? Do they feel free to share their ideas, mistakes, and feedback - fostering a learning and collaborative environment, in a united vision to deliver optimal care?

Culture
Leadership
Psychological Safety
Workforce
Culture and clinical governance
Culture and clinical governance

Governance, leadership and culture together form one pillar of the National Model Clinical Governance Framework.  ‘Culture’ in particular is a somewhat nebulous concept - what does it really mean, and what is its role in clinical governance?

Culture
Incident management
Leadership
Psychological Safety
Safety Culture
Workforce
Showing 1–8 of 8 articles

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