Framework for better care

reconciling approaches to patient safety and quality

Andrew Johnson, Robyn Clay-Williams, Paul Lane

Research output: Contribution to journalArticle

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In September 2017, the Royal Australasian College of Medical Administrators adopted a new clinical governance framework that recognised healthcare as a complex adaptive system, and embraced the need for resilient thinking and understanding the differences between work-as-imagined by managers and work-as-done at the front line of patient care. Directors of medical services may soon be implementing the framework in health services across Australia. This perspective describes a new conceptual model that underpins the Royal Australasian College of Medical Administrators framework, and characterises the challenges faced by all healthcare professionals when trying to achieve safe care for patients in an environment of variable complexity and unpredictability.

Original languageEnglish
Pages (from-to)653-655
Number of pages3
JournalAustralian health review : a publication of the Australian Hospital Association
Issue number6
Publication statusPublished - Jan 2019

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Copyright the Publisher 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.


  • resilient health care

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