title: Clinical governance in accident and emergency services.
abstract: Owing to NHS managers' preponderance with financial issues, the present Government made improving the quality of health services a statutory requirement in 1997. In this article, one means of improving the quality of health services, clinical governance, is examined in detail before some issues related to its implementation are described. The Trust's A&E services, the context for interpreting and applying clinical governance, are briefly described before introducing a force-field analysis that demonstrates the different elements when changing services broadly and clinical governance specifically. The final section concentrates on implementing and improving clinical governance in A&E departments.
authors.affiliation: Pinderfields Hospital NHS Trust, Wakefield, UK.
authors.forename: N
authors.initials: N
authors.lastname: Ryan
authors.forename: K
authors.initials: K
authors.lastname: Hurst
mesh_terms: D001291:Attitude of Health Personnel; D003258:Consumer Behavior; D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000592:standards*; D006779:Hospitals, Public / Q000458:organization & administration / Q000592:standards*; D006801:Humans; D007255:Information Services; D008330:Management Audit / Q000379:methods* / Q000458:organization & administration; D008485:Medical Audit / Q000379:methods* / Q000458:organization & administration; D019982:Organizational Case Studies; D015279:Organizational Culture; D010934:Planning Techniques; D011367:Professional Staff Committees; D012941:Social Responsibility; D013222:State Medicine / Q000458:organization & administration / Q000592:standards*; D006113:United Kingdom