Page 17 - MALAYSIAN PATIENT SAFETY GOALS
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PATIENT SAFETY GOAL  NO. 1
         IMPLEMENTATION OF CLINICAL GOVERNANCE


         KPI  NO. 1: IMPLEMENTATION OF CLINICAL GOVERNANCE



         INTRODUCTION
         Clinical governance is the foundation to good quality care and patient safety.
                    st
         It is the 1 Malaysian Patient Safety Goals.
         CG was first introduced to improved the quality and safety of healthcare in a
         systematic, integrated and organized manner.

         It involves each and everyone in the healthcare organization

         DEFINITION
         “ Clinical governance is a system through which(NHS) organisations are accountable
         for continuously improving the quality of their services and safeguarding high

         standards of care by creating an environment in which excellence in clinical care
         will flourish.”    (Scally and Donaldson 1998, NHS UK)

         OBJECTIVES

         To be part of the organisation which is accountable to improve quality and safety in
         systematic, integrated and organized manner

         ROLES AND  RESPONSIBILITIES OF NURSES IN CLINICAL GOVERNANCE

         • Education, training and continuous professional development
         •Risk management
         •Clinical audit
         •Evidence- based care and effectiveness
         •Patient and carer experience and involvement
         •Staffing and staff management



        COMPARISON OF ORGANISATION WITH AND WITHOUT CLINICAL GOVERNANCE

         WITHOUT CLINICAL GOVERNANCE                      WITH CLINICAL GOVERNANCE


         No quality and safety culture                    Quality and safety culture are important

         Blaming culture                                  Learning culture

         Secrecy culture                                  Transparency culture


         No standard procedures, protocol,                Standard procedures,protocol,guideline
         guideline                                        are available & used


         No checking system                               Checking/ audit system implemented

         Performance not monitored                        Performance monitored


         Less emphasis on patient exoerience              Patient experience is essential
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