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The concepts known as clinical governance are assumed as gold standard for the clinical management of health institution.
For several years, the clinical leadership of Hospital de Cascais (HC) has defined its principles as the guiding framework for delivering patient care in this institution. This Philosophy has become progressively inherent to the Hospital operation.1
COVID-19 pandemic crisis overwhelm the World Health System in a way never seen before. COVID-19 has such a huge impact in healthcare institutions and health workers that has shaken some of our beliefs and the way we feel, think and practice Medicine and this kind of shake should not pass without some
reflection from our part. If we let this pass without making a profound revision and drawing the necessary conclusions, all the hard work, all the suffering and burn out of health providers will be in vain.[...]