British Journal of Clinical Governance: Volume 6 Issue 2
Table of contents
Clinical governance in primary care: from blind‐eye to no‐blame culture in one short leap?
Tim van ZwanenbergRecent changes in the National Health Service in the UK have included a drive towards better quality health care through enhanced professional regulation, clinical governance and…
An audit of the care of patients with epilepsy in 15 general practices: lessons for Primary Care Groups
Judith Nicholson, John HoldenA district‐wide audit was completed for five different aspects of the care of patients with epilepsy: principally issues for women of child‐bearing age and the offer of annual…
Progress in clinical governance: findings from the first NPCRDC National Tracker survey of Primary Care Groups/Trusts
Stephen Campbell, Martin Roland, Brenda LeeseIn April 1999, 481 English Primary Care Groups (PCGs) were created. The National Primary Care Research and Development Centre is leading a three year longitudinal study, in…
Clinical audit in NHS acute and community trusts: a comparative analysis
Robin Dowie, Andrew KennedyClinical audit may undergo organisational change as the new primary care trusts assume responsibility for community health services. Very little has been published, however, about…
Impact of a day‐care center on the appropriateness of hospital admissions and frequency of hospitalization in patients with HIV infection
Clara M. Escolano Hortelano, Félix Gutiérrez Rodero, Javier Ena Muñoz, Concepción Benito Santaleocadia, Mar Masiá Canuto, Alberto Martín Hidalgo, Antonia Mora Rufete, Ildefonso Hernández AguadoAims to assess the impact of a day‐care center (DCC) on hospital bed usage by HIV‐infected patients. Reviews the medical records of 710 hospital admissions of HIV‐infected…
Clinical governance in primary care: early impressions based on Bradford South and West Primary Care Group’s experience
Matthew J. Walsh, Neil SmallThe experience of implementing clinical governance in Bradford South and West Primary Care Group illustrates how an emphasis on cultural change rather than on target setting…
False positive serologic tests after administration of intravenous gamma globulin: case report and institutional quality management resolution
J.B. Stricker, B.A. Browne, W. KossA quality management program was designed to eliminate false positive serological testing after administration of intravenous gamma globulin (IVIgG). The intervention and…
Clinical governance … after the review – what next? Agreement and implementation
S. Nicholls, R. Cullen, Aidan HalliganThe NHS Clinical Governance Support Team (NCGST) is working with multidisciplinary teams as they begin the cultural shift in their sponsoring organisations towards the development…
Advantages and disadvantages of evidence from clinical trials
Alan Earl‐SlaterIncreasing attention is being placed on clinical trials as a source of evidence. Presents thoughts about the advantages and disadvantages of clinical trials and their influence on…
Learning from death
P. Jane CowanReporting a death to the coroner by a doctor is not a statutory duty. It is, however, expected good practice. This article discusses some of the concerns arising out of current…