This is a framework through which organisations continually improve the quality of their services and safeguard high standards of care by creating an environment in which excellence in clinical care can flourish.
Activities central to good clinical governance include:
- Audit of practice: audit is of value when recommendations are effected, improvements made and verified by re-audit (the audit cycle)
- Guidelines: local guidelines should be evidence-based or developed from national/international guidelines.
- Labour ward activity/performance monitoring: the maternity dashboard is an excellent indicator of activity/performance. Indicators often used include: clinical activity, workforce, clinical outcomes and risk incidents/complaints, etc.
These indicators are listed with referenced thresholds against which they are benchmarked.
The dashboard enables early identification of deviating from the benchmark. Deviations can then receive timely and appropriate actions. This aims to improve clinical care and patient safety.
A traffic light system is used:
- green: when the goals are met
- amber: when the goals are not met, and action is needed if one is to avoid entering the red zone
- red: immediate action is needed to maintain safety.