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Clinical governance is unworkable
  1. E N Grosch
  1. 10888 Hammock Drive, Largo, FL 33774, USA; drgrosch@fastmail.fm

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    In your editorial on clinical governance, you cited “fragmented...evaluation” and “lack [of]...benchmarks of quality of care...which...impairs...improvements in patient care.”1 If improvement in patient care is impaired, clinical governance is conceptually moribund.

    Clinical diagnosis consists of evaluating patients’ maladies— “[A]t the heart of [clinical governance] is the desire to evaluate the quality of medical practice against agreed standards”1—and thus entails …

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