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Related Experiment Videos

Reviewing a service--discovering the unwritten rules.

R Cullen, S Nicholls, A Halligan

    Clinical Performance and Quality Health Care
    |February 24, 2001
    PubMed
    Summary
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    This article explains the service review process within the Clinical Governance Development Programme, a key component of modern healthcare quality improvement. It builds upon previous discussions of quality development and clinical governance in the UK National Health Service (NHS).

    Area of Science:

    • Healthcare Management
    • Quality Improvement Science
    • Public Health Policy

    Background:

    • The National Health Service (NHS) requires a cultural shift to enhance quality.
    • Clinical governance frameworks facilitate this necessary cultural transformation.
    • Previous work explored the history of quality development and clinical governance.

    Purpose of the Study:

    • To explain the model of quality improvement used in the Clinical Governance Development Programme.
    • To detail the service review process undertaken by delegate teams.
    • To provide a foundation for understanding practical quality improvement initiatives.

    Main Methods:

    • Focus on the service review process as undertaken by delegate teams.
    • Explanation of a specific quality improvement model.

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  • Descriptive approach based on delegate team activities.
  • Main Results:

    • The service review process is a critical element of the quality improvement model.
    • Delegate teams engage in structured reviews as part of their development.
    • This process forms the practical application of quality improvement principles.

    Conclusions:

    • The service review process is integral to the Clinical Governance Development Programme's quality improvement model.
    • Understanding this process is essential for implementing effective quality enhancement in the NHS.
    • This article serves as the first part of a detailed explanation of the programme's quality improvement approach.