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Do inquiries into health system failures lead to change in clinical governance systems?

Gluyas, H., Alliex, S. and Morrison, P. (2011) Do inquiries into health system failures lead to change in clinical governance systems? Collegian: Journal of the Royal College of Nursing Australia, 18 (4). pp. 147-155.

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    Link to Published Version: http://dx.doi.org/10.1016/j.colegn.2011.06.001
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    Abstract

    Aim
    This paper reports the first part of a case study investigation to examine the changes at King Edward Memorial Hospital (KEMH) following an inquiry established to review the quality of obstetric and gynaecological services.

    Background
    Common findings from a range of health inquiries in recent times include that there have been inadequate adverse event reporting systems, the absence of transparent systems for staff and patients to report concerns about quality of patient care, and an ineffective medical credentialing and performance review system. The similarity of findings from many health inquiries raises the question of whether an inquiry does lead to changes to improve patient care and safety. There has been very little reported in the literature about this.

    Method
    Using a case study strategy the areas of medical credentialing, performance review and involvement of consumers in care were chosen as the KEMH clinical governance processes to be examined for changes post inquiry. Documents, archives and interviews were used as data sources for this case study. Documents were examined using a normative analytic approach and the Miles and Huberman framework was used for data analysis of the interviews.

    Findings
    There were significant changes in the area of credentialing and performance review evident in analysis of all sources of data. There were some improvements in the processes of involving consumers in care, but deficits were identified in regard to the provision of training and upskilling for clinicians to improve their communication skills and interactions with patients and families.

    Publication Type: Journal Article
    Murdoch Affiliation: School of Nursing & Midwifery
    Publisher: Elsevier BV
    Copyright: © 2011 Royal College of Nursing, Australia
    URI: http://researchrepository.murdoch.edu.au/id/eprint/6064
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