title: Implementation of clinical governance in hospitals: challenges and the keys for success.
abstract: There is a number of models and strategies for improving the quality of care such as total quality management, continuous quality improvement and clinical governance. The policy of clinical governance is part of the governments overall strategy for monitoring, assuring and improving in the national health services organization. Clinical governance has been introduced as a bridge between managerial and clinical approaches to quality. For successful implementing of clinical governance, it is necessary to pay attention to firm foundations of the structure, including equipment, staffing arrangement, supporting specialties, and staff training. Therefore, as clinical governance improves safety and quality in health care services, the current situation in hospitals should be evaluated before any intervention while barriers and blocks on structure and process should be determined to select a method for changing them. Considering these points could guarantee success in implementation of clinical governance; otherwise there would be a little chance to achieve the desired results despite consumption of plenty of time and huge paper works.
authors.affiliation: Amir-Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran. rezaei_nima@yahoo.com.
authors.forename: Seyed Mohammad Hadi
authors.initials: SM
authors.lastname: Mousavi
authors.affiliation: Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran. rezaei_nima@yahoo.com.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Agharahimi
authors.affiliation: Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran rezaei_nima@yahoo.com.
authors.forename: Maede
authors.initials: M
authors.lastname: Daryabeigi
authors.affiliation: Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran.AND Research Center for Immunodeficiencies, Tehran University of Medical Sciences, Tehran, Iran.AND Department of Immunology, Molecular Immunology Research Center, Tehran University of Medical Sciences, Tehran, Iran. rezaei_nima@yahoo.com.
authors.forename: Nima
authors.initials: N
authors.lastname: Rezaei
mesh_terms: D054976:Clinical Governance / Q000458:organization & administration*; D006291:Health Policy; D006739:Hospital Administration; D006761:Hospitals; D006801:Humans; D009936:Organizational Innovation; D017749:Total Quality Management