Clinical governance in primary care - Organisational development for clinical governance
Clinical governance in primary care - Organisational development for clinical governance
复制标题
DOI：
10.1136/bmj.321.7262.679
复制
发表时间：
2000-09-16
影响因子：
--
通讯作者：
Rosen, R
中科院分区：
文献类型：
--
作者：
Huntington, J;Gillam, SP;Rosen, R
当代质量改进理论的基础是这样一个公理，即个人表现不佳通常反映了更广泛的“系统故障”或缺乏一个组织范围内的质量保证系统。1在医疗机构中，严重事故可能导致死亡、残疾或永久性不适。这一点，再加上临床医生倾向于保护他们的个人自主权和声誉，可能会促进一种指责和保密的文化，抑制防止未来此类事件发生所必需的组织学习。在将临床治理引入初级保健时，政府表示，它“必须被视为卫生组织内质量保证和改进的系统方法.最重要的是，临床治理是关于改变组织文化。从一种责备的文化转变为一种学习的文化，以便质量注入组织的各个方面，
Underpinning contemporary theories of quality improvement is the axiom that poor individual performance usually reflects wider “system failure” or the absence of an organisation-wide system of quality assurance. 1 In healthcare organisations, critical incidents can lead to death, disability, or permanent discomfort. This, together with clinicians’ tendency to protect their individual autonomy and reputation, can promote a culture of blame and secrecy that inhibits the organisational learning necessary to prevent such incidents in future.Introducing clinical governance to primary care, the government stated that it “must be seen as a systematic approach to quality assurance and improvement within a health organisation... Above all clinical governance is about changing organisational culture... away from a culture of blame to one of learning so that quality infuses all aspects of the organisation’s