Clinical governance in Accident and Emergency services

Ryan, Nikki; Hurst, Keith

doi:10.1108/09526869910291832

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…On the one hand, a comprehensive system of quality improvement in the emergency setting is essential to ensure patient satisfaction, as well as patient safety and clinical effectiveness. On the other hand, in the uncontrolled and sometimes chaotic environment of the emergency department implementation of quality management systems can be difficult at the best of times (Ryan and Hurst, 1999).…”

Section: Introductionmentioning

confidence: 99%

Quality assurance in emergency medicine: a Caribbean perspective

Sammy

Paul

Watson

et al. 2013

Clinical Governance: An Intl J

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Emergency Medicine is a new specialty in the Caribbean. With the development of specialist training over the past 20 years, the issue of quality assurance and governance have become more prominent. This article explores the successes and challenges of implementing systems of quality assurance in this unique environment, highlighting issues peculiar to the Caribbean setting. Design and Approach This paper is a review of current practice in the Emergency Departments of the four major teaching hospitals of the University of the West Indies. Information was gathered through interviews with key stakeholders (including the respective ED residency directors, senior residents and senior nursing and administrative staff), review of departmental protocols and guidelines and reviews of current published and unpublished literature. Findings Examples of good practice were identified in all six components of the clinical governance framework (clinical audit, clinical effectiveness, research and development, openness, risk management and education & training). Challenges to implementation of quality management included an underdeveloped quality culture, inadequate data collection, poor incentives for improvement and high external pressures, including staff shortages, departmental crowding and lack of public empowerment. Originality/value This is the first published work on clinical governance and quality assurance in Emergency Medicine in the Caribbean. This paper gives an insight into the unique opportunities and challenges in the area

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Section: Introductionmentioning

confidence: 99%

Quality assurance in emergency medicine: a Caribbean perspective

Sammy

Paul

Watson

et al. 2013

Clinical Governance: An Intl J

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Achieve Sustainable Hospital Excellence Through 5-S in an Emergency Department in Hong Kong

Tsoi

Chan

Lau

et al. 2014

Nang Yan Business Journal

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5-S is the first step towards TQM. Over the last century, the Japanese have formalised the technique and named it as 5-S Practice. Since 1993, Sam Ho has improved and defined its terms in English/Chinese and developed the world's first 5-S Audit Checklist. In the article, an emergency department of a Hong Kong hospital was examined against 5-S 50-point Checklist for the improvement of their quality assurance systems towards its accreditation process with Australian standards. The findings evidently reveal that the impact of 5-S on hospital quality assurance in the unit are positive. Riding on the above scenario, the research aim is to identify whether the 5-S practice is a suitable and effective tool for healthcare quality assurance in an emergency setting which is led towards its accreditation process set by other mechanisms.

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Clinical governance in Accident and Emergency services

Cited by 2 publications

References 3 publications

Quality assurance in emergency medicine: a Caribbean perspective

Quality assurance in emergency medicine: a Caribbean perspective

Achieve Sustainable Hospital Excellence Through 5-S in an Emergency Department in Hong Kong

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