Nicholls S, Cullen R, O'Neill S, Halligan A
National Clinical Governance Support Team, National Health Service.
Clin Perform Qual Health Care. 2000;8(3):172-8.
This article from the NHS Clinical Governance Support Team (NCGST) outlines the development of quality concerns since the NHS was founded in 1948. It traces the development of clinical governance as a means of achieving continuous quality improvement and describes what the implementation of clinical governance means for patients and professionals. It analyses features of the cultural shift necessary to underpin quality improvement initiatives and describes with practical examples the constituents of the culture necessary for successful clinical governance. Future articles in this series will address other issues around clinical governance and will explain the model being followed by delegates to the NCGST's Clinical Governance Development Programme as they implement clinical governance "on the ground".
这篇来自英国国民医疗服务体系临床治理支持团队（NCGST）的文章概述了自1948年英国国民医疗服务体系成立以来质量问题的发展情况。它追溯了临床治理作为实现持续质量改进手段的发展历程，并描述了临床治理的实施对患者和专业人员意味着什么。它分析了支持质量改进举措所需的文化转变的特征，并通过实际例子描述了成功的临床治理所需的文化要素。本系列的后续文章将探讨临床治理的其他问题，并解释NCGST临床治理发展计划的代表们在“实地”实施临床治理时所遵循的模式。
