Ryan N, Hurst K
Pinderfields Hospital NHS Trust, Wakefield, UK.
Int J Health Care Qual Assur Inc Leadersh Health Serv. 1999;12(6-7):267-71. doi: 10.1108/09526869910291832.
Owing to NHS managers' preponderance with financial issues, the present Government made improving the quality of health services a statutory requirement in 1997. In this article, one means of improving the quality of health services, clinical governance, is examined in detail before some issues related to its implementation are described. The Trust's A&E services, the context for interpreting and applying clinical governance, are briefly described before introducing a force-field analysis that demonstrates the different elements when changing services broadly and clinical governance specifically. The final section concentrates on implementing and improving clinical governance in A&E departments.
由于国民保健制度（NHS）的管理人员过于关注财务问题，现政府于1997年将提高医疗服务质量定为一项法定要求。在本文中，我们将详细探讨提高医疗服务质量的一种方法——临床治理，然后描述一些与其实施相关的问题。在引入一个力场分析之前，先简要介绍一下该信托机构的急诊服务，这是解释和应用临床治理的背景，该分析展示了广泛改变服务尤其是临床治理时的不同要素。最后一部分着重于在急诊科实施和改进临床治理。
