Monitoring incident report in the healthcare process to improve quality in hospitals

Duff, F. Le; Daniel, Sérgio; B, Kamendjé; Beux, P. Le; Duvauferrier, R

doi:10.1016/j.ijmedinf.2004.06.007

Cited by 18 publications

(10 citation statements)

References 6 publications

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“…Again, if the patient load and the interviewee assertions about staff shortage are anything to go by, then in the attempt to ensure quality improvement in care delivery of the Medical Department, increasing the staff capacity and reducing staff turnover needs to be addressed promptly, and no longer as merely a known but 'neglected’ issue [5]. To address the staffing needs, the leadership of the Medical Department has to provide data to inform management decisions: for example, about patient needs and how to meet the needs with the staff available [22,23]. This argument aligns with Øvretveit’s recommendation of designing a standard for management quality which will guide service efficiency [24].…”

Section: Discussionmentioning

confidence: 99%

Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi

Agyeman-Duah¹,

Theurer

Munthali

et al. 2014

BMC Health Serv Res

458

486

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BackgroundKnowledge regarding the best approaches to improving the quality of healthcare and their implementation is lacking in many resource-limited settings. The Medical Department of Kamuzu Central Hospital in Malawi set out to improve the quality of care provided to its patients and establish itself as a recognized centre in teaching, operations research and supervision of district hospitals. Efforts in the past to achieve these objectives were short-lived, and largely unsuccessful. Against this background, a situational analysis was performed to aid the Medical Department to define and prioritize its quality improvement activities.MethodsA mix of quantitative and qualitative methods was applied using checklists for observed practice, review of registers, key informant interviews and structured patient interviews. The mixed methods comprised triangulation by including the perspectives of the clients, healthcare providers from within and outside the department, and the field researcher’s perspectives by means of document review and participatory observation.ResultsHuman resource shortages, staff attitudes and shortage of equipment were identified as major constraints to patient care, and the running of the Medical Department. Processes, including documentation in registers and files and communication within and across cadres of staff were also found to be insufficient and thus undermining the effort of staff and management in establishing a sustained high quality culture. Depending on their past experience and knowledge, the stakeholder interviewees revealed different perspectives and expectations of quality healthcare and the intended quality improvement process.ConclusionsEstablishing a quality improvement process in resource-limited settings is an enormous task, considering the host of challenges that these facilities face. The steps towards changing the status quo for improved quality care require critical self-assessment, the willingness to change as well as determined commitment and contributions from clients, staff and management.

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Section: Discussionmentioning

confidence: 99%

Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi

Agyeman-Duah¹,

Theurer

Munthali

et al. 2014

BMC Health Serv Res

458

486

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“…Such incidents can result in the loss of company/organisational reputation and customer confidence, legal issues, a loss of productivity and direct financial losses [6]. The focus in Healthcare lessons learned and information exchange has been on safety [7][8][9][10][11][12][13] rather than security [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Improving the redistribution of the security lessons in healthcare: An evaluation of the Generic Security Template

Johnson

2015

International Journal of Medical Informatics

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“…Additionally, routine debriefing and root-cause analysis among providers should be in place to improve future performance (12,13). Quality improvement initiatives should be introduced and these should have strong local ownership (14).…”

Section: Discussionmentioning

confidence: 99%

Perinatal health care in a conflict-affected setting: evaluation of health-care services and newborn outcomes at a regional medical centre in Iraq

Ahamadani¹,

Louis²,

Ugwi³

et al. 2014

East Mediterr Health J

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A field-based assessment was conducted to assess maternal and newborn health-care services, perinatal and newborn outcomes and associated risk factors at Bint Al-Huda Maternal and Newborn Teaching Hospital, a large referral hospital in southern Iraq. The multi-method approach used interviews, discussions, observation and review of perinatal and newborn outcome data. There is limited assessment of maternal vital signs, labour pattern, fetal response, and complications during pregnancy and labour. Perinatal and neonatal mortality rates are 27.4/1000 births and 30.9/1000 live births respectively. Associated neonatal mortality factors were gestational age < 37 weeks, male sex, birth weight < 2.5 kg, maternal age > 35 years, rural maternal residence and vaginal delivery. Improving birth outcomes in southern Iraq requires evidence-based clinical guidelines, additional supplies and equipment, quality improvement initiatives and in-service training.

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Monitoring incident report in the healthcare process to improve quality in hospitals

Cited by 18 publications

References 6 publications

Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi

Understanding the barriers to setting up a healthcare quality improvement process in resource-limited settings: a situational analysis at the Medical Department of Kamuzu Central Hospital in Lilongwe, Malawi

Improving the redistribution of the security lessons in healthcare: An evaluation of the Generic Security Template

Perinatal health care in a conflict-affected setting: evaluation of health-care services and newborn outcomes at a regional medical centre in Iraq

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