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Clinical governance is a system that aims to provide high-quality services and ensure patient safety. It is also a system of accountability working between health organizations.

Clinical Governance Components:

Leadership and culture

Patient safety and quality improvement system

Clinical performance and effectiveness

Policies and procedures

Safe environment for the delivery of care

Partnering with consumers

Clinical governance is extremely important since it ensures the safety of patients, and ensures that patients are always receiving the highest quality of care possible. Due to their accountability, health organizations that the clinical governance work with and the patients that it serve can rely on and put their trust in it.

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Clinical management encompasses the organisation and coordination of healthcare services within a clinical setting, ensuring efficient delivery of safety and quality care to patients.

Clinical management Components:

Support and Leadership

System Design and Coordination

Communication and Education

Performance Measurement and Improvement

Environment Management and Risk Management

Patient and Consumer Engagement

Support and Leadership

Clinical management is crucial for ensuring the efficient delivery of safety and quality healthcare services. Clinical managers work closely with healthcare professionals to promote continuous improvement and uphold the organization's commitment to patient safety and quality care.

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Resource Allocation and Utilization:

Optimal resource allocation ensures healthcare facilities access to essential staff, equipment, and supplies, facilitating prompt and efficient care delivery. This directly links to clinical outcomes from patient satisfaction and treatment effectiveness.

Performance Monitoring and Improvement:

Monitoring performance allows clinical managers to identify areas for improvement and implement relevant interventions, thus directly impacting clinical outcomes. By addressing these areas proactively, clinical managers can improve patient care processes and ultimately lead to better clinical outcomes.

Clinical Decision-Making Support:

Implementing safety protocols and initiatives such as the National Safety and Quality Health Service Standards(NSQHS) reduces the incidence of medical errors, promoting a safer care environment and ultimately leading to improved health outcomes.

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Operational Focus vs. Strategic Focus:

Clinical management is operationally focused, handling activities like resource allocation, while clinical governance represents a strategic method, setting overarching goals and policies for safe, high-quality care.

Authority and Accountability:

Clinical managers have authority over departmental operations and are accountable for performance, while the governing body in clinical governance holds ultimate authority and accountability for organisational governance.

Continuous Improvement:

Clinical management carries out ongoing quality improvement within departments, while clinical governance oversees continuous improvement efforts across the organisation to enhance patient safety and care quality.

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The interconnection between clinical governance and clinical management are that:

A part of the clinical governance process, a quality of care policy will be created, and the clinical management will be responsible for implementing that policy.

Clinical governance has responsibility to identify the risks such as fall, medication errors, unsafe blood transfusion, unsafe injection practices, patient misidentification, etc. While clinical management will integrate risk management and apply it as a consideration during the health service delivery process.

A key responsibility of the clinical governance is to ensure that patients have access information related to their health information, treatment methods, and outcomes of their treatments. In order to achieve this goal, clinical management must involve patients in making decisions and work with them to develop effective care plans.

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Similar to clinical governance, health outcomes will depend on how the system is managed. When patients have positive results and progress during treatment, this reflects that the management is on the right track and can maintain that work attitude. If patient’s health get deteriorated, clinical management also plays a part in it as it is possible that small errors such as not managing planning well with patients create problems where treatment is not consistent, effective, or not manage exactly the same as the guidlines that clinical governance creates. Therefore, observing patient outcomes before, during, and after illness will help the health system reflect what can continue to improve and what needs to be changed to be able to provide the best quality care for patients.

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Each of the functions of clinical governance is designed to improve the patient’s health outcomes as much as possible as the quality of care improves. As a results of the patients’s participation in the treatment process, the patient’s treatment process will become easy and effective in a short timeframe, since the patients is the one who understands their body best. And managing to reduce obstacles, or hazards that are easy to fall-on, this will help reduce most of the injuries from falls. Accessing and caring for patients with health equity will allow patients to feel comfortable during a health check, do not hesitate to seek help from a health service and are willing to share what they feel concerned about. This will lead to the reduction of the severity of the disease and the prevention in a timely and proper way.

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An alteration in the health status of an individual, group, or population, either fully or partially influenced by an intervention or courses of interventions, defines a health outcome. These outcomes are indicators of the safety and quality of health care delivery. Health outcomes can be assessed through various ways, such as formalised clinical evaluations conducted by clinicians or through patient-reported assessments.

Clinical outcome Components:

Health outcome-related performance indicators

Standardised Measures of Health Status and Health-related Quality of Life(HRQoL)

“The Health Evaluation Cycle”

“The Health Outcomes Jigsaw”

Quality Improvement

Health outcomes play a vital role in assessing the effectiveness, safety, and quality of healthcare services, providing valuable insights into the impact of interventions on patient health and well-being, and guiding continuous quality improvement efforts within healthcare systems.

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Applying clinical governance helps minimise risks to patients, reduce errors when handling drugs, and reduce the number of deaths to ensure patient safety. Clinical governance provides high quality care that motivates patients to cooperate in their overall health care and promote recovery. Observing performance can help identify areas for improvement and create accountability for consumers to gain trust and contribute to stronger health services. All these factors all contribute to reflecting on how clinical governance always has a space for improvement.