Grounded accountability in life-and-death high-consequence healthcare settings.

Purpose: The paper examines interviewee insights into accountability for clinical governance in high-consequence, life-and-death hospital settings. The analysis draws on the distinction between formal "imposed accountability" and front-line "felt accountability". From these insights, the paper introduces an emergent concept, "grounded accountability".

Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review.

Objectives: To profile the aims and characteristics of quality improvement (QI) initiatives conducted in Ireland, to review the quality of their reporting and to assess outcomes and costs.

Design: Scoping review.

Data Sources: Systematic searches were conducted in PubMed, Web of Science, Embase, Google Scholar, Lenus and rian.

Mapping clinical governance to practitioner roles and responsibilities.

Purpose: While clinical governance is assumed to be part of organisational structures and policies, implementation of clinical governance in practice (the praxis) can be markedly different. This paper draws on insights from hospital clinicians, managers and governors on how they interpret the term "clinical governance". The influence of best-practice and roles and responsibilities on their interpretations is considered.

Do different approaches to clinical governance development and implementation make a difference? Findings from Ireland and New Zealand.

Purpose Clinical governance (CG) is an important foundation for a high-performing health care system, with many countries supporting its development. CG policy may be developed and implemented nationally, or devolved to a local level, with implications for the overall approach to implementation and policy uptake. However, it is not known whether one of these two approaches is more effective.