Pub Date : 2013-12-20DOI: 10.1108/CGIJ-08-2013-0030
D. Birnbaum
Purpose – The purpose of this article is to alert those in positions of trust and authority that there is an urgent need for improvement throughout the entire health profession credentialing process to fix defects at every stage, from employer responsibilities all the way up to licensing board responsibilities and government oversight. Design/methodology/approach – This paper takes the form of a narrative review. Findings – The assumption that layers of safeguards prevent dangerously incompetent or impaired practitioners from continuing to practice in American hospitals is, unfortunately, just that – an assumption. While the vast majority of healthcare professionals uphold the standards of their professions, a recent public health vulnerabilities report reveals serious defects throughout those safeguard layers and widespread harm that results from actions of relatively few determined miscreants who manage to evade them. This not only undermines public trust, but underscores ways in which governing boards,...
{"title":"First do no more harm","authors":"D. Birnbaum","doi":"10.1108/CGIJ-08-2013-0030","DOIUrl":"https://doi.org/10.1108/CGIJ-08-2013-0030","url":null,"abstract":"Purpose – The purpose of this article is to alert those in positions of trust and authority that there is an urgent need for improvement throughout the entire health profession credentialing process to fix defects at every stage, from employer responsibilities all the way up to licensing board responsibilities and government oversight. Design/methodology/approach – This paper takes the form of a narrative review. Findings – The assumption that layers of safeguards prevent dangerously incompetent or impaired practitioners from continuing to practice in American hospitals is, unfortunately, just that – an assumption. While the vast majority of healthcare professionals uphold the standards of their professions, a recent public health vulnerabilities report reveals serious defects throughout those safeguard layers and widespread harm that results from actions of relatively few determined miscreants who manage to evade them. This not only undermines public trust, but underscores ways in which governing boards,...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128123551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/14777271311317891
Luu Trong Tuan
Purpose – The cumulative cart of data piling through the empirical journey around hospitals in Vietnam provides the clue on whether corporate social responsibility (CSR) influences clinical governance, which in turn catalyzes team processes and knowledge sharing. This paper aims to discuss these issues.Design/methodology/approach – Structural equation modeling (SEM) approach served as an analyst for 341 responses returned from self‐administered structured questionnaires sent to 504 hospital members in the middle‐management position.Findings – A model of clinical governance and knowledge sharing evolved along the process of hypothesis testing. Ethical CSR was found to nourish clinical governance in the healthcare service organizations.Originality/value – The research findings shed light on the CSR‐based model of knowledge sharing which underscores the role of ethical CSR initiatives in the activation of chain effects from clinical governance through team processes to knowledge sharing.
{"title":"The role of CSR in clinical governance and its influence on knowledge sharing","authors":"Luu Trong Tuan","doi":"10.1108/14777271311317891","DOIUrl":"https://doi.org/10.1108/14777271311317891","url":null,"abstract":"Purpose – The cumulative cart of data piling through the empirical journey around hospitals in Vietnam provides the clue on whether corporate social responsibility (CSR) influences clinical governance, which in turn catalyzes team processes and knowledge sharing. This paper aims to discuss these issues.Design/methodology/approach – Structural equation modeling (SEM) approach served as an analyst for 341 responses returned from self‐administered structured questionnaires sent to 504 hospital members in the middle‐management position.Findings – A model of clinical governance and knowledge sharing evolved along the process of hypothesis testing. Ethical CSR was found to nourish clinical governance in the healthcare service organizations.Originality/value – The research findings shed light on the CSR‐based model of knowledge sharing which underscores the role of ethical CSR initiatives in the activation of chain effects from clinical governance through team processes to knowledge sharing.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133979434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/14777271311317927
P. Pearce, Bev A. Phillips, M. Dawson, S. Leggat
Purpose – The purpose of this paper is to evaluate the current evidence regarding the content of clinical supervision for nursing and allied health professionals.Design/methodology/approach – The authors searched CINAHL, Medline, PsychINFO and Cochrane Database. Studies were included if the participants involved were nursing, medical or allied health practitioners, but not students, and if the studies contained discussion regarding the content of clinical supervision. Critical analysis of the articles was carried out by two independent researchers to ensure consistency and thematic analysis was applied.Findings – Twenty included articles were in three main categories: cross‐sectional studies (n=9), including interview, survey and focus group methods of data collection; literature reviews (n=2); and nine published opinion pieces. Themes related to the content of clinical supervision that were identified were reflective practice; task oriented content; diversity of content; and stress management. The result...
{"title":"Content of clinical supervision sessions for nurses and allied health professionals: A systematic review","authors":"P. Pearce, Bev A. Phillips, M. Dawson, S. Leggat","doi":"10.1108/14777271311317927","DOIUrl":"https://doi.org/10.1108/14777271311317927","url":null,"abstract":"Purpose – The purpose of this paper is to evaluate the current evidence regarding the content of clinical supervision for nursing and allied health professionals.Design/methodology/approach – The authors searched CINAHL, Medline, PsychINFO and Cochrane Database. Studies were included if the participants involved were nursing, medical or allied health practitioners, but not students, and if the studies contained discussion regarding the content of clinical supervision. Critical analysis of the articles was carried out by two independent researchers to ensure consistency and thematic analysis was applied.Findings – Twenty included articles were in three main categories: cross‐sectional studies (n=9), including interview, survey and focus group methods of data collection; literature reviews (n=2); and nine published opinion pieces. Themes related to the content of clinical supervision that were identified were reflective practice; task oriented content; diversity of content; and stress management. The result...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125461884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/CGIJ-01-2013-0001
M. Ogundele
Purpose – ADHD is the commonest neurodevelopmental disorder of children and adolescents. ADHD is no longer conceptualized as a predominantly childhood disorder but is a chronic disorder that persists into adolescence and adulthood. The paper aims to analyse the transitional care of adolescents diagnosed with ADHD in childhood into adult specialist ADHD services in a local district. The paper also seeks to review current practice and to design a multi‐disciplinary transitional care pathway to adult services for adolescents with complex health needs based on best practice and available clinical guidelines.Design/methodology/approach – Adolescents diagnosed with ADHD from childhood who were eligible for transition to adult ADHD services and who reached the age of 16 years over a period of two years consecutively (July 2009 to June 2011) were studied by a retrospective analysis of their clinical records. The current transitional care pathway was reviewed and revised.Findings – Out of 504 patients on the speci...
{"title":"Transitional care to adult ADHD services in a North West England district","authors":"M. Ogundele","doi":"10.1108/CGIJ-01-2013-0001","DOIUrl":"https://doi.org/10.1108/CGIJ-01-2013-0001","url":null,"abstract":"Purpose – ADHD is the commonest neurodevelopmental disorder of children and adolescents. ADHD is no longer conceptualized as a predominantly childhood disorder but is a chronic disorder that persists into adolescence and adulthood. The paper aims to analyse the transitional care of adolescents diagnosed with ADHD in childhood into adult specialist ADHD services in a local district. The paper also seeks to review current practice and to design a multi‐disciplinary transitional care pathway to adult services for adolescents with complex health needs based on best practice and available clinical guidelines.Design/methodology/approach – Adolescents diagnosed with ADHD from childhood who were eligible for transition to adult ADHD services and who reached the age of 16 years over a period of two years consecutively (July 2009 to June 2011) were studied by a retrospective analysis of their clinical records. The current transitional care pathway was reviewed and revised.Findings – Out of 504 patients on the speci...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"154 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133006016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/CGIJ-10-2012-0036
S. Guha, W. Hoo, C. Bottomley
Purpose – Risk management is an essential cornerstone of any effective unit. The maternity dashboard has been found to be an efficient governance tool, but there is no such scorecard in gynaecology. The paper aims to conceptualise and implement an acute gynaecology dashboard in a teaching hospital over a period of two years and review the changes brought in practice as a result of the dashboard.Design/methodology/approach – This acute gynaecology dashboard was designed in line with the existing maternity dashboard. Goals and benchmarks were determined on the basis of available national guidelines, expert opinions and local policies. The dashboard was prospectively implemented, updated monthly and presented in the relevant forums. A retrospective overview of the changes brought in the practice is presented in this paper.Findings – Through the use of the dashboard significant problems related to workforce, training and clinical activity were identified. A number of changes were subsequently executed to impr...
{"title":"Introducing an acute gynaecology dashboard as a new clinical governance tool","authors":"S. Guha, W. Hoo, C. Bottomley","doi":"10.1108/CGIJ-10-2012-0036","DOIUrl":"https://doi.org/10.1108/CGIJ-10-2012-0036","url":null,"abstract":"Purpose – Risk management is an essential cornerstone of any effective unit. The maternity dashboard has been found to be an efficient governance tool, but there is no such scorecard in gynaecology. The paper aims to conceptualise and implement an acute gynaecology dashboard in a teaching hospital over a period of two years and review the changes brought in practice as a result of the dashboard.Design/methodology/approach – This acute gynaecology dashboard was designed in line with the existing maternity dashboard. Goals and benchmarks were determined on the basis of available national guidelines, expert opinions and local policies. The dashboard was prospectively implemented, updated monthly and presented in the relevant forums. A retrospective overview of the changes brought in the practice is presented in this paper.Findings – Through the use of the dashboard significant problems related to workforce, training and clinical activity were identified. A number of changes were subsequently executed to impr...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115195299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/CGIJ-05-2013-0011
D. Birnbaum
– The purpose of this paper is to discuss the reporting of quality of care in hospitals., – The paper takes the form of a narrative review., – The American Federal Agency for Healthcare Research and Quality recently conducted a funding opportunity in recognition that the science of public reporting was insufficiently understood, which underlies relatively weak impact to date of public information web sites on hospital quality and safety. Whether the fundamental purpose of such web sites is to inform consumer choices or to stimulate facility leadership toward accelerated quality improvement, which relates to which metrics would be the most appropriate, and whether public audiences perceive concepts of evidence‐based best practices differently from professional audiences, all remain in question. Whether reporting physical harm of adverse events is the best metric, or whether damage to dignity and trust should be included, or whether more holistic measures of institutional culture would be even more meaningful remain in contention. While it is premature to set standards unifying how and what hospital performance measures should be displayed on public information web sites, there are existing efforts to ensure developers can learn from the natural experiment afforded by the current abundance of independently developed North American reporting programs, league tables and public information web sites., – Developers of public policy and of electronic health information systems can benefit in terms of efficiency and effectiveness by capitalizing on the recent work of several interdisciplinary teams. They can benefit from the generic approach used by some who are attempting to harmonize the broad range of public health reporting programs' data flow into one use case model capable of accommodating all reporting streams, and from others who are applying evidence‐based criteria to rank public information web sites while also evaluating performance of scoring criteria they are developing from broad principles acquired from various cited sources., – Public trust in healthcare facility quality and safety has fallen into mistrust, and the information web sites developed to address that consumer issue are known to have problems in ease of use, believability and helpfulness. This paper describes recent North American projects that acknowledge those problems but also provide potential paths toward solving them.
{"title":"Unravelling a web of confusion","authors":"D. Birnbaum","doi":"10.1108/CGIJ-05-2013-0011","DOIUrl":"https://doi.org/10.1108/CGIJ-05-2013-0011","url":null,"abstract":"– The purpose of this paper is to discuss the reporting of quality of care in hospitals., – The paper takes the form of a narrative review., – The American Federal Agency for Healthcare Research and Quality recently conducted a funding opportunity in recognition that the science of public reporting was insufficiently understood, which underlies relatively weak impact to date of public information web sites on hospital quality and safety. Whether the fundamental purpose of such web sites is to inform consumer choices or to stimulate facility leadership toward accelerated quality improvement, which relates to which metrics would be the most appropriate, and whether public audiences perceive concepts of evidence‐based best practices differently from professional audiences, all remain in question. Whether reporting physical harm of adverse events is the best metric, or whether damage to dignity and trust should be included, or whether more holistic measures of institutional culture would be even more meaningful remain in contention. While it is premature to set standards unifying how and what hospital performance measures should be displayed on public information web sites, there are existing efforts to ensure developers can learn from the natural experiment afforded by the current abundance of independently developed North American reporting programs, league tables and public information web sites., – Developers of public policy and of electronic health information systems can benefit in terms of efficiency and effectiveness by capitalizing on the recent work of several interdisciplinary teams. They can benefit from the generic approach used by some who are attempting to harmonize the broad range of public health reporting programs' data flow into one use case model capable of accommodating all reporting streams, and from others who are applying evidence‐based criteria to rank public information web sites while also evaluating performance of scoring criteria they are developing from broad principles acquired from various cited sources., – Public trust in healthcare facility quality and safety has fallen into mistrust, and the information web sites developed to address that consumer issue are known to have problems in ease of use, believability and helpfulness. This paper describes recent North American projects that acknowledge those problems but also provide potential paths toward solving them.","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121264967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/CGIJ-11-2012-0042
Akram Khayatzadeh-Mahani, M. Nekoei-Moghadam, Atefeh Esfandiari, F. Ramezani, S. Parva
Purpose – The purpose of this paper is to explore how the clinical governance policy and its main component, patient satisfaction, turned into practice and what they look like on the ground in the centralised health system of Iran.Design/methodology/approach – A qualitative research stance was adopted incorporating three main sources of information: face to face in‐depth interviews and focus groups conducted with hospital senior managers at the teaching hospitals in Kerman city, Iran, as well as documentary analysis of key policy texts. Nine hospital senior managers were purposefully selected for face‐to‐face interviews as well as a purposeful sample of 15 hospital senior managers for focus groups.Findings – The documentary analysis revealed how clinical policy has been put into practice. The interview and focus group data analysis also disclosed four key themes with respect to how policy implementers in the Iranian centralised health system perceive nationally developed policies towards clinical governan...
{"title":"Clinical governance implementation: a developing country perspective","authors":"Akram Khayatzadeh-Mahani, M. Nekoei-Moghadam, Atefeh Esfandiari, F. Ramezani, S. Parva","doi":"10.1108/CGIJ-11-2012-0042","DOIUrl":"https://doi.org/10.1108/CGIJ-11-2012-0042","url":null,"abstract":"Purpose – The purpose of this paper is to explore how the clinical governance policy and its main component, patient satisfaction, turned into practice and what they look like on the ground in the centralised health system of Iran.Design/methodology/approach – A qualitative research stance was adopted incorporating three main sources of information: face to face in‐depth interviews and focus groups conducted with hospital senior managers at the teaching hospitals in Kerman city, Iran, as well as documentary analysis of key policy texts. Nine hospital senior managers were purposefully selected for face‐to‐face interviews as well as a purposeful sample of 15 hospital senior managers for focus groups.Findings – The documentary analysis revealed how clinical policy has been put into practice. The interview and focus group data analysis also disclosed four key themes with respect to how policy implementers in the Iranian centralised health system perceive nationally developed policies towards clinical governan...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130376813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/14777271311317936
N. Rao, A. Paramithas, A. Parthipun
Purpose – Patients with suspected pulmonary embolism (PE) must be transferred between one hospital, seven miles away to a trust, for access to the V/Q scanner. The aim of this audit was to examine delays in obtaining scans and delays in same day reporting.Design/methodology/approach – The methodology used the Same Working Day guidelines (National Diagnostic Imaging board (UK); the target was 90 per cent. The indicators were: time from request to scan attendance; time from scan to typed, accessible report. Data from 141 inpatient V/Q scans between March 2009 and 2010 were collected retrospectively. In the re‐audit 89 V/Q scans for the period of June 2010 to May 2011 were collected retrospectively.Findings – In the first round there were 31 scans from EGH and 110 from StH. Overall 64 per cent of scans were reported on the same day. There was a significant delay in scanning EGH patients due to transportation. The introduction of voice recognition software was aimed at reducing the time between dictation and ...
{"title":"Closing the loop on same day reporting of V/Q scans: utilising speech recognition software","authors":"N. Rao, A. Paramithas, A. Parthipun","doi":"10.1108/14777271311317936","DOIUrl":"https://doi.org/10.1108/14777271311317936","url":null,"abstract":"Purpose – Patients with suspected pulmonary embolism (PE) must be transferred between one hospital, seven miles away to a trust, for access to the V/Q scanner. The aim of this audit was to examine delays in obtaining scans and delays in same day reporting.Design/methodology/approach – The methodology used the Same Working Day guidelines (National Diagnostic Imaging board (UK); the target was 90 per cent. The indicators were: time from request to scan attendance; time from scan to typed, accessible report. Data from 141 inpatient V/Q scans between March 2009 and 2010 were collected retrospectively. In the re‐audit 89 V/Q scans for the period of June 2010 to May 2011 were collected retrospectively.Findings – In the first round there were 31 scans from EGH and 110 from StH. Overall 64 per cent of scans were reported on the same day. There was a significant delay in scanning EGH patients due to transportation. The introduction of voice recognition software was aimed at reducing the time between dictation and ...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127915377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/14777271311317945
L. Edozien
Purpose – The purpose of this paper is to facilitate an integrative approach to the implementation, monitoring and reporting of risk management in healthcare settings.Design/methodology/approach – A framework, identified by the acronym RADICAL, is presented. The underlying principles and the strengths of the framework are described.Findings – The framework comprises the following domains in an integrated grid: raise awareness, design for safety, involve users, collect and analyse patient safety data, and learn from patient safety incidents.Practical implications – The RADICAL framework provides a simple but comprehensive approach to the implementation, monitoring and reporting of healthcare risk management. It is designed to facilitate learning and accountability at both individual and organisational levels, advocating a balance between “person” and “system”. It covers all domains of patient safety while also being flexible to allow local customisation of the content and metrics for each domain.Originalit...
{"title":"The RADICAL framework for implementing and monitoring healthcare risk management","authors":"L. Edozien","doi":"10.1108/14777271311317945","DOIUrl":"https://doi.org/10.1108/14777271311317945","url":null,"abstract":"Purpose – The purpose of this paper is to facilitate an integrative approach to the implementation, monitoring and reporting of risk management in healthcare settings.Design/methodology/approach – A framework, identified by the acronym RADICAL, is presented. The underlying principles and the strengths of the framework are described.Findings – The framework comprises the following domains in an integrated grid: raise awareness, design for safety, involve users, collect and analyse patient safety data, and learn from patient safety incidents.Practical implications – The RADICAL framework provides a simple but comprehensive approach to the implementation, monitoring and reporting of healthcare risk management. It is designed to facilitate learning and accountability at both individual and organisational levels, advocating a balance between “person” and “system”. It covers all domains of patient safety while also being flexible to allow local customisation of the content and metrics for each domain.Originalit...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"140 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115541106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-11-10DOI: 10.1108/CGIJ-01-2013-0002
Alistair M. Brown
Purpose – This paper seeks to analyse the audit findings, by the Auditor General's Office of the Solomon Islands, of the Ministry of Health and Medical Services, Solomon Islands' main health and medical agency that aims to coordinate the country's health and medical services.Design/methodology/approach – Using electronic data from annual reports, audit findings on the Solomon Islands' Ministry of Health and Medical Services are textually analysed over a six year period (2006‐2011) to detect the milieu of reporting by Solomon Islands' main health agency.Findings – Over a six year period, the Ministry of Health and Medical Services consistently found it difficult to generate accurate and timely annual reports as mandated by legislation. Critical governance issues of internal control, asset management, stock control and bank reconciliations are given short shrift by the Ministry.Research limitations/implications – The findings presented here are derived exclusively from textual analysis rather than through t...
{"title":"Auditing Solomon Islands' health and medical governance","authors":"Alistair M. Brown","doi":"10.1108/CGIJ-01-2013-0002","DOIUrl":"https://doi.org/10.1108/CGIJ-01-2013-0002","url":null,"abstract":"Purpose – This paper seeks to analyse the audit findings, by the Auditor General's Office of the Solomon Islands, of the Ministry of Health and Medical Services, Solomon Islands' main health and medical agency that aims to coordinate the country's health and medical services.Design/methodology/approach – Using electronic data from annual reports, audit findings on the Solomon Islands' Ministry of Health and Medical Services are textually analysed over a six year period (2006‐2011) to detect the milieu of reporting by Solomon Islands' main health agency.Findings – Over a six year period, the Ministry of Health and Medical Services consistently found it difficult to generate accurate and timely annual reports as mandated by legislation. Critical governance issues of internal control, asset management, stock control and bank reconciliations are given short shrift by the Ministry.Research limitations/implications – The findings presented here are derived exclusively from textual analysis rather than through t...","PeriodicalId":310544,"journal":{"name":"Clinical Governance: An International Journal","volume":"610 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131426145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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