Clinical Governance: An International Journal: Volume 10 Issue 4

Treatment of acute behavioural disturbance: A clinical audit of risk management in psychiatric practice

Rebecca Jacob, Neil Hunt

To improve the quality of care of patients who are given parenteral medication for an episode of disturbed or violent behaviour in the context of a psychotic illness.

Is our evidence‐based practice effective?: Review of 435 steroid injections given by a general practitioner over eight years

John Holden, Emma Wooff

The purpose of this article is to review all patients having received a steroid injection for rheumatic problems in the period 1995‐2003 by one general practitioner.

Low back pain: barriers to effective clinical governance

Jennifer Langworthy, Wendy Clow, Alan Breen

The purpose of this article is to investigate acceptability, dissemination and use of a multidisciplinary audit toolkit to monitor evidence‐based care for acute low back pain and…

Clinical guidelines in severe pre‐eclampsia and eclampsia

M.K. Whitworth, F. Reid, R. Arya, R.A. Smith, P.N. Baker, J. Myers

This article aims to assess the standard local recommended management of women with severe pre‐eclampsia and eclampsia in relation to recommendations in a national clinical…

Mental health tribunals: an issue for clinical governance

Claire Dibben, Mai Luen Wong, Neil Hunt

The purpose of this article is to examine reasons given by Mental Health Review Tribunals for discharging patients from detention and the effect the length of detainment had on…

Psychosocial care within a multidisciplinary breast cancer team

Sarah Lewis, Craig A. White, Liam Dorris

The purpose of this article is to identify the range of psychosocial care components used by a multidisciplinary breast cancer team.

Evidence‐based medicine: A clinical governance tool for rationalising or rationing health care?

Ash Samanta, Jo Samanta

The purpose of this article is to provide a viewpoint on a controversial aspect of evidence‐based medicine (EBM) and its application to clinical decision making and healthcare…

Injecting confidence: anticipating and reducing the risks of childhood immunisation

Jane Cowan, Jonathan Haslam

The purpose of this article is to assess important changes made to the vaccines used for childhood and adolescent immunisation in August 2004. These changes resulted in a number…