A survey of clinical governance success in Tehran hospitals

Successful implementation of clinical governance improves the quality and safety of healthcare services and enhances the accountability of managers and employees. This study aimed to examine the success of clinical governance implementation in Tehran hospitals.
A valid and reliable questionnaire was used for the aim of this study. 144 questionnaires were distributed among the hospital managers. Data analysis was performed using SPSS software and descriptive and analytical statistics.
92 questionnaires were returned and analyzed. Clinical governance implementation was moderately successful in Tehran hospitals (the mean score of 2.82 out of 5). The most and least success were achieved in patient involvement and clinical audit respectively. Managers and employees’ commitment in implementing clinical governance was assessed as moderate. The involvement of about 70 percent of physicians was less than average. There was a statistical meaningful correlation between managers’ commitment and clinical governance success.
Implementation of clinical governance in Tehran city hospitals was not successful. Using an appropriate model for implementing clinical governance, management and leadership commitment, clinical staff involvement and information and process management are necessary for successful implementation of clinical governance.