Valutare la clinical governance nelle organizzazioni sanitarie. Quale framework comune?

Translated title of the contribution: [Autom. eng. transl.] Evaluate clinical governance in health organizations. Which common framework?

Maria Lucia Specchia, Gualtiero Ricciardi, Gianfranco Damiani, Silvio Capizzi, Pasquale Cacciatore, Filip Mjlosevic, Emanuela Lovato

Research output: Chapter in Book/Report/Conference proceedingConference contribution


[Autom. eng. transl.] Introduction The evaluation methodologies of Clinical Governance (CG), under-represented in the literature, appear to be guided by different investigation criteria. The aim of this study was the comparative analysis of the CG evaluation methods described in the literature in order to identify a new conceptual structure common to them. Methods A systematic review of the literature available over the last 20 years on Pubmed, EconLit, Ebscho, Ovid has been conducted through a specific research algorithm. The analysis methods of the CG emerged were compared for the areas investigated with a framework comprising 12 domains and 60 subdomains of the CG proposed by the Institute of Healthcare Improvement (IHI). In order to identify new CG domains, common to all the analyzed and compared methodologies, multiple correspondence analysis (MCA) was applied. Results 14 of 5937 articles in 19 countries were selected and compared with the IHI standard. "Objectives" resulted the most represented IHI domain (73%), "Patients and Family Members" the least present (33%). Applying the MCA, the aggregation of the subdomains allowed the identification, according to the common IHI framework, of 5 latent factors, explaining 66.42% of the total variance, which were named as follows: Accountability for Patient / Family Engagement (F1); Strategies for Continuous Quality Improvement (F2); Budget and Reporting (F3); Leadership and Communication (F4); Objectives and Patient Experience (F5). Conclusions This preliminary study identifies a new conceptual framework for the evaluation of the CG in healthcare organizations, starting from the comparative analysis, in the light of the IHI standard, of the available scientific literature. This framework represents the potential basis for the identification of a common quality standard that supports the development of univocal analysis and evaluation methods and tools.
Translated title of the contribution[Autom. eng. transl.] Evaluate clinical governance in health organizations. Which common framework?
Original languageItalian
Title of host publicationAbstract Book del 48° Congresso Nazionale SItI – “Alimentare la salute”
Number of pages1
Publication statusPublished - 2015
Event48° Congresso Nazionale SItI – “Alimentare la salute” - Milano
Duration: 14 Oct 201517 Oct 2015


Conference48° Congresso Nazionale SItI – “Alimentare la salute”


  • clinical governance
  • valutazione


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