Clinical Governance in Primary Care:

"Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here"--Provided by publisher Cover 1 Title Page 2 Copyright Page 3 Contents 4 Foreword 6 Preface 7 List of contributors 9 About this book 11 Acknowledgements 13 Dedication 14 Part 1 Setting the scene 16 1 Clinical governance: a quality concept 18 2 Clinical governance in primary care 32 3 Clinical governance in action – in a primary care trust 46 4 Clinical governance in action – in a practice 54 Part 2 Clinical governance in practice 68 Humane care 70 5 What are patients looking for? 70 Clinical effectiveness 78 6 Evidence-based practice 78 7 Disseminating and implementing evidence-based practice 90 8 Quality improvement processes 104 9 Appropriate use of data: the example of indicators 116 10 Managing information 132 Risk management 150 11 Reducing risk and promoting safety in primary care 150 12 Significant event auditing 166 13 Lessons from complaints 176 14 Tackling poor performance 188 Personal and professional development 198 15 Continuing professional development 198 16 Developing leaders 214 17 Developing teamwork 226 Part 3 Exploring the future 234 18 Educating the coming generation 236 19 The end of certainty: professionalism revisited 248 20 Implementing clinical governance 258 Index 262 Extending and amplifying the principles outlined in the first edition, this book provides a description of clinical governance in primary care by a panel of renowned leading contributors - based on practical examples on how clinical governance functions in Primary Care Trusts and teams Content: Part 1: Setting the scene. Part Two: The components of clinical governance. Part Three: Exploring the future. Educating the coming generation. The end of certainty: professionalism re-visited. Implementing clinical governance.