O'Connor Nick, Paton Michael
Northern Sydney Central Coast Health, Sydney, NSW, Australia.
Australas Psychiatry. 2008 Apr;16(2):69-73. doi: 10.1080/10398560701799266.
A framework developed to promote the understanding and application of clinical governance principles in an area mental health service is described. The framework is operationalized through systems, processes, roles and responsibilities.
The development of an explicit and operationalizable framework for clinical governance arose from the authors' experiences in leading and managing mental health services. There is a particular emphasis on improvement of quality of care and patient safety. The framework is informed by recent developments in thinking about clinical governance, including key documents from Australia and the United Kingdom.
The operational nature of the framework allows for key components of clinical governance to be described explicitly, communicated effectively, and continually tested and improved. Further consideration and assessment of the value of differing approaches to this task are required. For example, a general, illustrative approach to raise clinician awareness can be contrasted with prescriptive and specified approaches which progressively encompass the many functions and processes of a mental health service.
Mental health clinicians and managers can be guided by a framework that will ensure safe, high quality and continually improving processes of care.
描述一个为促进临床治理原则在某地区精神卫生服务中的理解与应用而制定的框架。该框架通过系统、流程、角色和职责来实施。
临床治理明确且可操作框架的制定源于作者在领导和管理精神卫生服务方面的经验。特别强调提高护理质量和患者安全。该框架借鉴了临床治理最新的思想发展成果，包括来自澳大利亚和英国的关键文件。
该框架的操作性使得临床治理的关键组成部分能够得到明确描述、有效沟通，并不断进行测试和改进。需要对完成这项任务的不同方法的价值进行进一步思考和评估。例如，提高临床医生意识的一般说明性方法可与逐步涵盖精神卫生服务诸多功能和流程的规定性和特定性方法形成对比。
精神卫生临床医生和管理人员可遵循一个能确保护理过程安全、高质量且不断改进的框架。
