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Clinical governance is a systematic approach to maintaining and improving the quality of patient care within the National Health Service (NHS) and private sector health care. Clinical governance became important in health care after the Bristol heart scandal in 1995, during which an anaesthetist, Dr Stephen Bolsin , exposed the high mortality ...
NHS Executive, Promoting clinical effectiveness. A framework for action in and through the NHS. London: NHS Executive, 1996; National Institute of Clinical Excellence, Principles of Best Practice in Clinical Audit. London: NICE, 2002 ISBN 1-85775-976-1; Swage T.; Clinical governance in health care practice. Oxford: Butterworth-Heinemann, 2000
In June 2014, NHS England approved a local alternative to the framework for practices in Somerset. Under the Somerset Practice Quality Scheme agreement practices that choose to take part only have to formally report against five of the indicators in the 2014–15 QOF.
The National Clinical Assessment Authority was established on 1 April 2001 as a special health authority. It initially operated as a service within England for NHS doctors, although this has been extended by various agreements. [2] It was renamed National Clinical Assessment Service when it merged with the National Patient Safety Agency in 2005 ...
The Donabedian model is a conceptual model that provides a framework for examining health services and evaluating quality of health care. [1] According to the model, information about quality of care can be drawn from three categories: "structure", "process", and "outcomes". [2]
Evidence-based medicine (EBM) is "the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. ...[It] means integrating individual clinical expertise with the best available external clinical evidence from systematic research."
The European Practice Assessment is a pan-European development for quality management in primary health care. The scaffolding is a set of indicators, that EPA instrument enables general practitioners to compare and to improve the organisation and management of their practices.
In Nursing, as in other professions, peer review applies professional control to practice, and is used by professionals to hold themselves accountable for their services to the public and the organization. Peer review plays a role in affecting the quality of outcomes, fostering practice development, and maintaining professional autonomy.