Clinical governance in primary care: Knowledge and information for clinical governance

McColl, Alastair

doi:10.1136/bmj.321.7265.871

Cited by 27 publications

(21 citation statements)

References 13 publications

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“…But from the literature, it emerges that the human resource implications of health policies in general and clinical governance in particular remains largely unexplored. Most clinical governance discussion in the literature has focused on its definition [3][4][5], organisational strategies [6,7], leadership [8][9][10][11], professional development [12], clinical audit [13], role of chief executives [14], managerial and clinical approaches to quality [15], clinical guidelines [16], organisational culture [17], risk management [18,19], staff development needs [20], education [21] and information management [22,23]. Few of these publications pay attention to the human resource implications of clinical governance.…”

Section: Introductionmentioning

confidence: 99%

Exploring the human resource implications of clinical governance

Som¹

2007

Health Policy

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Section: Introductionmentioning

confidence: 99%

Exploring the human resource implications of clinical governance

Som¹

2007

Health Policy

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“…Various attributes of performance indicators were identified from the review of the literature and the analysis of the key informant interviews [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Resultsmentioning

confidence: 99%

“…More recently increased emphasis on primary health care funding and service delivery have produced a greater focus on the development of performance indicators in primary health care. A proliferation of performance measures and ad hoc indicator sets, often lacking a sound theoretical basis for their selection and development, have led many authors to provide definitions and criteria to help in the development of evidence-based indicator sets suitable for a primary health care setting [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Panning for gold: An evidence-based tool for assessment of performance indicators in primary health care

et al. 2007

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“…Digital Libraries offer the potential, as flexible information resources, to address these demands [1][2] [3]. The National electronic Library for Health (NeLH) project is a proposed solution to clinical resource problems within the UK [4].…”

mentioning

confidence: 99%

Acceptability of medical digital libraries

Adams¹,

Blandford

2002

Health Informatics J

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Evidenced-based medicine has increased the importance of quick accessibility to reputable, upto-date information. Web-accessible digital libraries (DLs) on the wards can address the demand for such information. The use and acceptability of these resources has, however, been lower than expected due to a poor understanding of the context of use. To appreciate the social and organizational impacts of ward-accessible DLs for clinicians, results of a study within a large Londonbased hospital are presented. In-depth interviews and focus groups with 73 clinicians (from pre-registration nurses to surgeons) were conducted, and the data analysed using the grounded theory method. It was found that clinical social structures interact with inadequate training provision (for senior clinicians), technical support and DL usability to produce a knowledge gap between junior and senior staff, resulting in information -and technology -hoarding behaviours. Findings also detail the perceived effectiveness of traditional and digital libraries and the impact of clinician status on information control and access. One important conclusion is that increased DL usability and adequate support and training for senior clinicians would increase perceptions of DLs as support for, rather than replacement of, their clinical expertise.

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Clinical governance in primary care: Knowledge and information for clinical governance

Cited by 27 publications

References 13 publications

Exploring the human resource implications of clinical governance

Exploring the human resource implications of clinical governance

Panning for gold: An evidence-based tool for assessment of performance indicators in primary health care

Acceptability of medical digital libraries

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