title: Hospitals' readiness for clinical governance implementation in educational hospitals of yazd, iran.
abstract: BACKGROUND
  Clinical governance is a systematic approach to maintaining and improving the quality of patient care. This study aimed to assess some Iranian educational hospitals' readiness for clinical governance implementation through the organizational climate.
  
  
  METHODS
  It was a cross-sectional study that used the Clinical Governance Climate Questionnaire (CGCQ) in three educational hospitals in Yazd, a city in central Iran, in 2012. A total of 186 personnel contributed to the study. Data were analyzed using SPSS version 16. Descriptive statistics and the Kruskal-Wallis test were used for data analyses.
  
  
  RESULTS
  The mean scores of the clinical governance climate in Shahid Sadoughi, Shahid Rahnemoon and Afshar hospitals were 2.63±0.29, 2.58±0.32, and 2.68±0.29. The mean scores of quality improvement planning and change, quality improvement integration and motivation, clinical risk management and climate of blame and punishment, organizational learning, and training and development (T&D) opportunities for learning in the studied hospitals were 2.21±0.49, 2.80±0.40, 2.76±0.40, 2.91±0.54 and 3.06±0.72, respectively.
  
  
  CONCLUSIONS
  The results of this study showed that the educational hospitals' climate should be more supportive for successful implementation of clinical governance.
authors.affiliation: Ph.D. in Healthcare Management, Assistant Professor, Healthcare Management Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran ; Ph.D. in Healthcare Management, Hospital Management Research Center, Shahid Sadoughi Hospital, Yazd, Iran.
authors.forename: Mohammad Amin
authors.initials: MA
authors.lastname: Bahrami
authors.affiliation: B.Sc. in Healthcare Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Ali Akbar
authors.initials: AA
authors.lastname: Sabahi
authors.affiliation: Ph.D. in Healthcare Management, Hospital Management Research Center, Shahid Sadoughi Hospital, Yazd, Iran.
authors.forename: Razieh
authors.initials: R
authors.lastname: Montazeralfaraj
authors.affiliation: M.Sc. in Biostatistics, Biostatistics and Epidemiology Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Farimah
authors.initials: F
authors.lastname: Shamsi
authors.affiliation: B.Sc. in Healthcare Management, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
authors.forename: Samaneh Entezarian
authors.initials: SE
authors.lastname: Ardekani
keywords: clinical governance; hospital; organizational climate