Clinical Governance tools




Evidence-based Practice (EPB) is a multidisciplinary approach, formally introduced in clinical practice in 1992, according to which all decisions concerning clinical, healthcare and organizational practice should be taken on the basis of quantitative scientific studies selected according to proofs of concept.
EPB can be defined as the integration between the best scientific evidences currently available and clinical experience, with consideration for the patient’s individual values and circumstances
• Consider operators as an integral part of the care
• Regard continuing education and hands-on practice as strategies to modify professional practice
• skills
Define staff management strategies to develop human resources, according to the personal attitudes, knowledge and skills of each
Involve citizens in the assessment and definition of the modalities of service and care provision, because they are entitled to it and their contribution can reduce the inappropriateness of demand
Clinical Governance tree
Quality systems
Evidence-based strategies and policies
Management of resources and services
Reliable data
Research & Development
Risk Management
Audit and assessment
Technology Assessment
GOVERNANCE
COORDINATION
Accountability and Performance
Training culture
• Structure indicators
• Process indicators
Clinical
• Mortality (deaths for a specific cause)
• Clinical events (major complications)
• Metabolic indexes (cholesterol levels, arterial blood pressure)
Economical
• Directly medical (hospitalization, outpatient visits, tests, drugs)
• Indirectly medical (job loss, limitations to daily activities)
• Intangible (burnout or psychological distress)
Humanistic
• Symptoms (pain)
• Quality of life
• Functional state
• Patient satisfaction