Atul K Shah
Consultant Plastic Surgeon, Mahi Hospital, Raopura, Baroda, India
Source of Support: None, Conflict of Interest: None
Clinical governance in burn care is extensive and exhaustive process of quality reforms. The process of clinical care becomes more patient friendly and follows processes and protocols. Implementation of clinical governance has to be preceded by overall awareness of the staff. Motivated staff is further encouraged to constitute a clinical governance team. Enthusiastic leader and open-minded team form core of the process of quality improvement. Streamlining is started for systems and processes that revolve around patient care. Quality focused groups identify avenues in burn management that can be reformed with active participation of entire burn team. All such quality-oriented exercises add to change in organisational culture and develop an excellent team. Useful adjuncts to clinical governance in burn care would be identification of capabilities and capacity of each member, devotion of sufficient time and resources for the process, and updating of the information machinery. Quality improvement follows cultural change and shift in the way people think and behave. The burn team can set out to identify short, medium and long-term agenda in relation to quality excellence in patient oriented clinical care. The team will then formulate processes to achieve quality for all these clinical situations. There will be greater focus on performance. The focus will shift to evidence based clinical practice and will have increasing involvement from patient and relatives. Implementation of clinical governance in burn care though will be a slow process, and will have far reaching impact on culture and development of burn facilities.