Clinical directorates in the Irish health service : managing resources and patient safety / Yvonne O'Shea.

Includes bibliographical references and index.

Introduction--1. The resource management initiative in the UK--Origins--The resource management initiative--The brunel evaluation--Evaluation findings--Key issues--Lessons learned--2. The emergence of clinical directorates--Johns Hopkins Hospital--Guy's Hospital--NHS reform--Learning from the NHS--3. Early examples of the implementation of clinical directorates--Introduction--Hospitals surveyed--St.Jame's Hospital--The clinical management Team--Main features of clinical directorates--Key issues--4. Health service reform in ireland--Shaping a healthier future--Quality and fairness--Frameworks for change--Health service reform programme--Health service executive--5. Patient safety and patient-centred care--Building a culture of patient safety--Health information technology--Health information and quality authority--Healthstat--Integrated care pathways--Clinical practice guidelines and clinical governance--6. The establishment of clinical directorates in ireland--Launch of the clinicians in management initiative --Role of the clinician in management--OHM leadership survey--The Buttimer report--Comptroller and auditor general's report--The HSE and clinical directorates--7. Governance and clinical directorates in Ireland--Principles and framework--Clinical leadership--HSE quality and clinical care directorate--Clinical directorates and mental health--8. Nursing and midwifery and clinical directorates--A question of scale and responsibility--Framing the issues--The impact of clinical directorates on nursing and midwifery--Implications and recommendations--Conclusion - A challenge for all professionals--Endnotes.