clinical governance question

[emad]

Well , clinical governance means using best evidence to obtain best outcome , this what I understood from an article I read 2 years ago . In UK ,there is much debat over clinical governance , EBP and Qulaity improvment .

What clinical governance
Clinical governance is the framework through

Meaning there is much knoweldge regarding it , even at Uk.physio.professional body there was much articles regarding EBP , However Currently they make every thing with fees , months ago were free ...Why ???!!!

cheers
Emad

[clarett]

If you've ever reviewed/been involved with review of a particular case history when things didn't go as expected you can use that as an example - can be a multidisciplinary case - doesn't have to be just physio.
Or - reviewing care pathways....
Or reviewing e.g. on a ward the standard outcome measure that is used, whether it is best for that client group
Or putting outcome measures in place to be able to monitor care that's being provided.

Unfortunately for you (in terms of interview) - most clinical governance work at the moment is being done at a higher level...

Reflective practice and use of outcome measures are good examples that you can give - anything to do with CPD too. CPD is a component of clinical governance and being newly qualified it is likely to be your biggest contribution. Have a look at this website:
http://www.cgsupport.nhs.uk/ - it should help with finding some examples

[neurospast]

To be honest when someone asks me about clinical governance I go completely blank. Personally I think no one knows exactly what it means but can only describe what they think it means. The word is to open for interpretation and therefor to my opinion not well chosen.
For this reason I think you better return the question to the interviewer with the comment that you cannot answer the question because no clear definition (not well defined, no exact borders) can be given and you might misinterprete his question. Then you give some examples like it has to do with CPD, buddy system, EBP and so on. After this you ask the interviewer if he or she is able to define for you clinical governance so you are able to answer his/her question instead of doing some guess work about the meaning of the word.
It is just fashion unfortunately we have to deal with it. To my opinion the same with p.e. Evidence based practice, unfortunately there is very little clinical evidence to physiotherapy treatment and a lot of evidence which is used is to my opinion just "what someone has thought and spinned a theory around it" Just think p.e. manipulations done by a chiropractor or a manual therapy trained physio; they might do the same but their theory (and therefor thinking what happens) is different.
IN this way you have to look at clinical governance, try to return the question in a polite way because if you are unable to put borders on the question every answer will be wrong!
Good luck for the future, I think you deserve it.

[atp76]

Clinical governance is a systematic approach the term used to maintaining and improving the quality of patient care within a health system. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:

"A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish." (Scally and Donaldson, 1998)

Clinical governance is composed of the following elements:
Education and Training
Clinical audit
Clinical effectiveness
Research and development
Openness
Risk management

[VeeSp82]

Clinical governance is a systematic approach the term used to maintaining and improving the quality of patient care within a health system. It was originally elaborated within the United Kingdom National Health Service (NHS), and its most widely cited formal definition describes it as:

"A framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care by creating an environment in which excellence in clinical care will flourish." (Scally and Donaldson, 1998)

Clinical governance is composed of the following elements:
Education and Training
Clinical audit
Clinical effectiveness
Research and development
Openness
Risk management

This is by far the best and most consistent reply!