. 2013 Aug 12;2(2):e26. doi: 10.2196/ijmr.2700

Table 3.

Contextual elements that support and limit clinical governance using computerized medical records.

Context	Reviewed Elements
Organizational	Accessible by different cadres of practice staff^a
	Accreditation standards includes clinical governance^a
	Patients are not enrolled, and can be very mobile^b
Individual clinician	Clinicians receive training in operating computers^a
Individual clinician	Nearly half of Australian GPs are involved in quality audits^a
Clinical task	Individual clinicians have little autonomy over the software system, and must respond to its settings^b
Technology	Variety in coding systems^b
	Lack of standardization^b
	No patient access^b
	No back-up systems for CMR itself^b

^aContextual elements that support clinical governance using computerized medical records.

^bContextual elements that limit clinical governance using computerized medical records.