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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 83 articles
A tale of two children: streptococcal sepsis strikes again
A tale of two children: streptococcal sepsis strikes again

Aishwarya Aswath was 7 years old when her parents took her to the Perth Children’s Hospital on 3 April 2021, with a range of symptoms including diarrhoea, vomiting and fever.  Despite being triaged as a Category 4 and therefore ‘semi-urgent’, Aishwarya rapidly deteriorated into cardiac arrest and died as a result of undiagnosed Group A Streptococcal sepsis.  

Paediatrics
Preventable Harm
Sepsis
What a pain
What a pain

Pain is a complex and multifactorial phenomenon, and chronic pain can rarely be eliminated. While pain can be nociceptive or neuropathic in nature – relatable to an identifiable organic cause – a third category of pain, described as ‘nociplastic’, is less well defined, and treatment particularly challenging.

Pain
Person-centred care
Restrictive practices
The role of primary care in clinical governance (and vice versa)
The role of primary care in clinical governance (and vice versa)

Clinical governance has an important role in primary care, but primary care also has an important role in clinical governance.

Integrated Care
Models of care
Primary & Community Care
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
Legislating clinical governance by integrating care: Lessons from overseas
Legislating clinical governance by integrating care: Lessons from overseas

‘Successful integration is the planning, commissioning and delivery of co-ordinated, joined up and seamless services to support people to live healthy, independent and dignified lives and which improves outcomes for the population as a whole.  Everyone should receive the right care, in the right place, at the right time.’

Integrated Care
Lessons from overseas
Person-centred care
Reform
Integrating primary care
Integrating primary care

Integrated care addresses the problem of care fragmentation, and instead supports continuity.  It is person-centred because it enhances the patient experience through improved coordination of care.  Integrated care has been broadly described as an ‘organising principle for care delivery with the aim of achieving improved patient care through better coordination of services provided’ – hence the need for systems thinking.

Integrated Care
Systems Thinking
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
Showing 1–10 of 83 articles