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The clinical governance of multidisciplinary care

机译：多学科护理的临床治理

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Purpose - Providers of health and social care services aim to deliver personalised care that is safe, effective, caring, responsive and well led. Multidisciplinary teams often have to work together, either within or across multiple provider organisations in order to achieve this aim. It is valuable to have a framework of clinical governance for such circumstances that enables a shared assurance of quality. To achieve these aims, the purpose of this paper is to present a clinical governance matrix framework developed by the author's experiences in clinical practice, in service change and in management and leadership. Design/methodology/approach - There are seven pillars of clinical governance; patient and public involvement, staffing and staff management, clinical effectiveness and research, using information and IT, education and training, risk management and audit. These seven pillars of clinical governance can be mapped against the five quality domains of safe, effective, caring, responsive and well led to create a matrix that in turn describes the framework we need for quality assurance. Findings - The matrix is populated with outcome measures and these are monitored to achieve balance across the framework. The tool can be used at the level of an individual practitioner all the way up to multiple organisations in collaboration. The detail in each cell of the matrix will change accordingly and critically should be developed and owned by the subject of the framework. Originality/value - This clinical governance matrix is presented as a methodology to monitor quality assurance in the settings of health and social care.
机译：目的-保健和社会护理服务的提供者旨在提供安全，有效，贴心，反应迅速且领导良好的个性化护理。多学科团队通常必须在多个提供商组织内部或之间合作，以实现此目标。在这种情况下，建立临床管理框架以实现共同的质量保证是很有价值的。为了实现这些目标，本文的目的是提出一种临床治理矩阵框架，该框架是根据作者在临床实践，服务变更以及管理和领导力方面的经验而开发的。设计/方法/方法-临床治理有七个支柱；患者和公众参与，人员配备和人员管理，临床有效性和研究，使用信息和信息技术，教育和培训，风险管理和审计。临床治理的这七个支柱可以针对安全，有效，贴心，响应迅速且引人入胜的五个质量领域进行映射，以创建一个矩阵，进而描述我们需要质量保证的框架。调查结果-矩阵中填充了成果指标，并对其进行监控以实现整个框架之间的平衡。该工具可以在单个从业人员级别使用，直到多个组织协作为止。矩阵的每个单元格中的详细信息将相应更改，并且至关重要的是应由框架主题开发和拥有。原创性/价值-此临床治理矩阵是作为一种方法来监控卫生和社会护理环境中的质量保证。

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