title: The Polisemy of Clinical Governance: a review of literature.
abstract: The article aims to explore the concept of clinical management, with a view towards understanding the diverse meanings that could be attributed to that expression. This discussion can contribute to the planning and organization of health services geared to the management of clinical practices, as well as to set forth principles to draft actions in that field. Methodologically, the study consists of a qualitative literature review, using keywords of the Virtual Health Library (VHL). In terms of results, seven topics stand out that synthesize the analysis of sources: management, quality promotion, clinical monitoring or auditing, education, responsibility or accountability, safety in care and a systemic dimension. The conclusion is that the variation of meanings relates to the way in which the authors of the studies reviewed express or unfold the structuring conceptual components broadly accepted as clinical governance. What we observe is a lack of a greater focus on discussions regarding planning and policies relating to clinical governance.
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Romeu
authors.initials: R
authors.lastname: Gomes
authors.affiliation: Departamento de Medicina, Universidade Federal de São Carlos, Brasil.
authors.forename: Valéria Vernaschi
authors.initials: VV
authors.lastname: Lima
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: José Maurício
authors.initials: JM
authors.lastname: de Oliveira
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Laura Maria Cesar
authors.initials: LM
authors.lastname: Schiesari
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Everton
authors.initials: E
authors.lastname: Soeiro
authors.affiliation: Fundação Dom Cabral, Brasil.
authors.forename: Luciana Faluba
authors.initials: LF
authors.lastname: Damázio
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Helena Lemos
authors.initials: HL
authors.lastname: Petta
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Marilda Siriani
authors.initials: MS
authors.lastname: de Oliveira
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Silvio Fernandes
authors.initials: SF
authors.lastname: da Silva
authors.affiliation: Departamento de Enfermagem, UFSCar, Brasil.
authors.forename: Sueli Fatima
authors.initials: SF
authors.lastname: Sampaio
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Roberto de Queiroz
authors.initials: Rde Q
authors.lastname: Padilha
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: José Lúcio Martins
authors.initials: JL
authors.lastname: Machado
authors.affiliation: Instituto Sírio-Libanês de Ensino e Pesquisa, Hospital Sírio-Libanês, São Paulo, SP, Brasil, romeugo@gmail.com.
authors.forename: Gilson
authors.initials: G
authors.lastname: Caleman
mesh_terms: D054976:Clinical Governance; D006296:Health Services; D006801:Humans