tailieunhanh - Ebook ABC of clinical leadership: Part 2

Part2 book “ABC of clinical leadership” has contents: Leading and improving clinical services, educational leadership, leading for collaboration and partnership working, understanding yourself as leader, leading in a culturally diverse health service, gender and leadership, leading ethically and with integrity, developing leadership at all levels. | CHAPTER 8 Leading and Improving Clinical Services Fiona Moss NHS London, London, UK OVERVIEW • Clinical leadership can profoundly affect the quality of patient care • Leaders of improvement need a system-wide perspective • The clinical team is at the heart of quality improvement • Establishing an organisational culture of continual improvement is crucial to success • Leaders of improvement need to understand and use quality metrics • Quality improvement requires healthcare professionals and managers to work collaboratively • Clinical leaders must have the courage to challenge the status quo and set ambitious goals Introduction Understanding the relationship between the patient experience, clinical outcomes and the organisation of care is the key to effective clinical leadership. For doctors and nurses trained in the care of individual patients, becoming a leader in the clinical environment requires the translation of a concern for individuals into an appreciation of how the whole system of care contributes to the well-being and care of patients. Professional autonomy and clinical freedom are highly valued by clinicians, but the real benefits of these aspects of clinical practice must be balanced against the benefits of being cared for within an effective organisation. Clinical leaders have a role in defining what professionalism means in an organisational context: managing dedicated clinicians and ensuring the alignment of purpose between managers and healthcare professionals so that care is safe, effective and patient-centred. Leading for improvement Much has been written about quality and safety improvement and there are many published examples of successes and sustained improvements. Generating step changes in improvements across the system of care requires a combination of clinical knowledge and understanding coupled with organisational authority and a ABC of Clinical Leadership, 1st edition. Edited by Tim Swanwick and Judy McKimm. 2011 .