Development of an evaluation framework for African–European hospital patient safety partnerships

Rutter, Paul D.; Syed, Shamsuzzoha B; Storr, Julie; Hightower, Joyce D; Bagheri-Nejad, Sepideh; Kelley, Edward; Pittet, Didier

doi:10.1136/bmjqs-2013-001869

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…Healthcare associated infections (HCAI) remain a global healthcare challenge and a safety burden to patients, their visitors and healthcare workers (HCWs) 1 as they contribute to prolonged hospital stay, additional hospital expenditures, greater disease burden and higher patient morbidity and mortality 2 . Globally, it is estimated that 1.4 million patients are affected by HCAI 3 .…”

Section: Introductionmentioning

confidence: 99%

Barriers to hand hygiene practices among health care workers in sub-Saharan African countries: A narrative review

Ataiyero

Dyson

Graham

2019

American Journal of Infection Control

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Background: Hand hygiene (HH) is the primary measure in the prevention of healthcare associated infections though from published studies, compliance of healthcare workers to HH guidelines is low. There is currently no review on HH compliance rate in developing countries, specifically Sub-Saharan Africa (SSA) or the barriers to compliance. We therefore, through a narrative review sought to identify the compliance with and the barriers to HH in SSA.Methods: From three databases, we performed a search of peer-reviewed studies from SSA, conducted among healthcare workers, published in English language and between 2005 and 2017. Only studies that reported HH compliance and/or barriers were included.Results: A total of 278 articles were identified and the final sample of 27 analyzed in full length. Overall HH compliance rate was estimated to be 21.1% and doctors had better compliance irrespective of the type of patient contact. The main barriers identified were heavy workload, infrastructural deficit (e.g. lack of water, soap, hand sanitizers and blocked/leaking sinks) and poorly positioned facilities. Conclusion:HH compliance is poor among SSA healthcare workers. There is a need for more reports of HH compliance in SSA and emphasis needs to be placed on surgical wards where surgical sites infections, the commonest form of HCAI in SSA are likeliest. Barriers identified in this review are consistent with the findings of studies conducted elsewhere however it appears that heavy workload, infrastructural deficit and poorly positioned facilities are more likely in developing countries.

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Section: Introductionmentioning

confidence: 99%

Barriers to hand hygiene practices among health care workers in sub-Saharan African countries: A narrative review

Ataiyero

Dyson

Graham

2019

American Journal of Infection Control

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“…One paper that was not identified in the search but would have been useful to the review was identified by the peer reviewers of this paper. Rutter et al [ 31 ] describes a participatory process to develop an evaluation framework for patient safety partnerships giving indicators not only for the effectiveness of the patient safety interventions but also partnership strength and national spread. The indicators for partnership strength were based on practice based knowledge and expert review and were not validated.…”

Section: Discussionmentioning

confidence: 99%

A rapid evidence review on the effectiveness of institutional health partnerships

Kelly¹,

Doyle²,

Weakliam

et al. 2015

Global Health

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BackgroundInstitutional Health Partnerships are long-term, institution to institution partnerships between high income and low and middle income countries which seek to build capacity and strengthen health institutions in order to improve health service delivery and outcomes. Funding for Institutional Health Partnerships has increased in recent years. This paper outlines a rapid evidence review on the effectiveness of this modality.MethodsA rapid evidence review of published and grey literature was conducted. Content relating to the effectiveness of working in partnership and methods and frameworks used were extracted and analysed. The results of this analysis were used to structure a discussion regarding the next steps to strengthen the evidence base for the effectiveness of institutional health partnerships.ResultsThe evidence review, including citation mapping, returned 27 published papers and 17 grey literature documents that met all of the inclusion criteria. Most of the literature did not meet the high standards of formal academic rigour and there was no original research amongst this literature that specifically addressed the effectiveness of institutional health partnerships. This was not surprising given institutional health partnerships do not lend themselves easily to case control studies and randomised control trials due to their high level of diversity and operation in complex social systems. There was, however, a body of practice based knowledge and experience.ConclusionsEvidence for the effectiveness of Institutional Health Partnerships is thin both in terms of quantity and academic rigour. There is a need to better define and differentiate Institutional Health Partnerships in order to measure and compare effectiveness across such a diverse group. Effectiveness needs to be measured at the level of individual partnerships, the bodies that facilitate partnership programmes and the level of health service delivery. There is a need to develop indicators and frameworks that specifically address the benefits and values of partnership working and how these relate to effectiveness. These indicators need to be content neutral of specific interventions which are already measured through routine project monitoring and evaluation. This will allow the development of methodological pathways to assess the effectiveness of institutional health partnerships. Until more primary research is conducted or published there is little benefit in further systematic reviews.Electronic supplementary materialThe online version of this article (doi:10.1186/s12992-015-0133-9) contains supplementary material, which is available to authorized users.

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“…In the mid-2000s, the member states of the World Health Organization’s (WHO) Africa Region initiated efforts to address patient safety, culminating in a formal agreement to endorse 12 action areas across the region [ 8 ]. WHO instituted the African Partnerships for Patient Safety (APPS) to encourage the bidirectional transfer of knowledge and joint efforts related to patient safety improvements between African hospitals twinned with European hospitals.…”

Section: Introductionmentioning

confidence: 99%

From Kisiizi to Baltimore: cultivating knowledge brokers to support global innovation for community engagement in healthcare

et al. 2018

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BackgroundReverse Innovation has been endorsed as a vehicle for promoting bidirectional learning and information flow between low- and middle-income countries and high-income countries, with the aim of tackling common unmet needs. One such need, which traverses international boundaries, is the development of strategies to initiate and sustain community engagement in health care delivery systems.ObjectiveIn this commentary, we discuss the Baltimore “Community-based Organizations Neighborhood Network: Enhancing Capacity Together” Study. This randomized controlled trial evaluated whether or not a community engagement strategy, developed to address patient safety in low- and middle-income countries throughout sub-Saharan Africa, could be successfully applied to create and implement strategies that would link community-based organizations to a local health care system in Baltimore, a city in the United States. Specifically, we explore the trial’s activation of community knowledge brokers as the conduit through which community engagement, and innovation production, was achieved.SummaryCultivating community knowledge brokers holds promise as a vehicle for advancing global innovation in the context of health care delivery systems. As such, further efforts to discern the ways in which they may promote the development and dissemination of innovations in health care systems is warranted.Trial registrationTrial Registration Number: NCT02222909. Trial Register Name: Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes (CONNECT). Date of Trial’s Registration: August 22, 2014.

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Development of an evaluation framework for African–European hospital patient safety partnerships

Abstract: Taking a highly participatory approach that closely involved its end users, we developed an evaluation framework and tools to measure partnership strength, patient safety improvements and the spread of best practice.

Cited by 3 publications

References 21 publications

Barriers to hand hygiene practices among health care workers in sub-Saharan African countries: A narrative review

Barriers to hand hygiene practices among health care workers in sub-Saharan African countries: A narrative review

A rapid evidence review on the effectiveness of institutional health partnerships

From Kisiizi to Baltimore: cultivating knowledge brokers to support global innovation for community engagement in healthcare

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