SafeCare: An Innovative Approach for Improving Quality Through Standards, Benchmarking, and Improvement in Low- and Middle-Income Countries

Johnson, Matthew T.; Schellekens, Onno P.; Stewart, Jacqui; Ostenberg, Paul Van; Wit, Tobias Rinke de; Spieker, Nicole

doi:10.1016/s1553-7250(16)42049-0

Cited by 25 publications

(23 citation statements)

References 11 publications

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“…The costs of services for antenatal and delivery care are similar to those of other private hospitals in the area. However, the quality of services was rated as higher than similar private hospitals in the area by SafeCare, which measures quality standards for private hospitals in Africa [25].…”

Section: Study Settingmentioning

confidence: 98%

Implementation of the INTERGROWTH-21 ^st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Jones¹,

Vesel

Kimenju³

et al. 2020

Global Health Action

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Background: In order to make further gains in preventing newborn deaths, effective interventions are needed. Ultrasounds and newborn anthropometry are proven interventions to identify preterm birth complications, the leading cause of newborn deaths. The INTERGROWTH-21 st global gestational dating and fetal and newborn growth standards prescribe optimal growth in any population. Jacaranda Health in Kenya was the first lowresource health facility to implement the standards and evaluate their feasibility and acceptability. Objective: To capture patients' perceptions of ultrasound and newborn care before and during implementation of the INTERGROWTH-21 st standards. Methods: The study was conducted over two years before and during the introduction of the INTERGROWTH-21 st standards. Fifty pregnant and/or newly delivered women were selected for in-depth interviews and focus group discussions using convenience and purposive sampling. Interviews were conducted by research assistants using semi-structured guides once in the pre-implementation phase and twice in the implementation phase. Interviews were transcribed, double-coded by two independent researchers and thematically analyzed together. Demographic information was obtained from hospital records. Results: Patients reported being generally satisfied with ultrasound care when providers communicated effectively. Women reported a priority for ultrasound was that it allowed them to feel reassured. However, a clear need for better pre-screening information emerged consistently from patients. Women noted that factors facilitating their choosing to have an ultrasound included ensuring the well-being of the fetus and learning the sex. Barriers included wait times and financial constraints. Patients were generally satisfied with care using the newborn standards. Conclusions: As the INTERGROWTH-21 st standards are implemented worldwide, understanding ways to facilitate implementation is critical. Increased and standardized communication about ultrasound should be provided before the procedure to increase satisfaction and uptake. Considering patient perspectives when integrating new standards or guidelines into routine clinical care will inform effective strategies in care provision, thus improving maternal and newborn health and survival.

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Section: Study Settingmentioning

confidence: 98%

Implementation of the INTERGROWTH-21 ^st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Jones¹,

Vesel

Kimenju³

et al. 2020

Global Health Action

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“…Building on various tools and guidelines that were already being used in the country, a small working group developed specific indicators that were then presented to the wider group for consensus. 11,12 The indicators were chosen to measure key issues that had been widely cited by the stakeholders to be the major bottlenecks to providing good quality care at health facilities. Other important stakeholders from outside the lab were invited at key stages of the development process; this was called syndication.…”

Section: Raising a Mirror To Quality Of Care In Tanzania: The Five-stmentioning

confidence: 99%

Raising a mirror to quality of care in Tanzania: the five-star assessment

Yahya

Mohamed

2018

The Lancet Global Health

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“…Factores clave Hors, C., et al [33] Introducción de elementos de PMBOK y Lean Six Sigma Kovaleva, F., Peters, H. and van der Mei, et al [38] Evaluación de eventos adversos por endoscopia flexible. Brown, et al [39] Lecciones aprendidas para la generación de conocimiento Weber, D. and Rutala, W. [40] Gestión del riesgo para disminuir la transmisión de pacientes con infección cuando se presentan fallas de esterilización Rutala, W. et al [41] Eficacia de procesos de desinfección para eliminar patógenos Weber, D. and Rutala, W. [42] Contaminación microbiana sobre instrumentos quirúrgicos utilizados Autor Factores clave Dağsuyu, C. et al [43] Análisis de riesgos clásico y difuso de FMEA en Centrales de Esterilización Ider, B. et al [44] Organización del control de infecciones en hospitales -Liderazgo en centrales de esterilización Kirsh, M. et al [45] Gestión de calidad en prácticas radiológicas Jhonson, M. [46] Iniciativas de benchmarking, estándares y prácticas de calidad en el cuidado de la salud Los casos presentados consignan factores clave para el desarrollo de una propuesta que integre diferentes metodologías de calidad. En el marco de los organismos normalizadores se han identificado que las normas UNE y PAS 99 sugieren que se brinde el enfoque por procesos para la integración de los sistemas de gestión diseñados a partir de requisitos.…”

Section: Tabla II Casos De Integración De Prácticas Modelos Y Estándunclassified

Identificación de factores clave en la implementación de prácticas de gestión de calidad en Centrales de Esterilización

Rojas¹,

Díaz-Piraquive²,

Perea³

et al. 2017

Proceedings of the 15th LACCEI International Multi-Conference for Engineering, Education, and Technology: “Global Partnership F

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prácticas y estándares en salud alineados con la normatividad legal vigente, elementos integradores representativos para incrementar el valor en las organizaciones. Los resultados de la revisión de literatura proporcionan un marco de referencia sobre la evolución de las tendencias de prácticas de calidad en procesos médicos. En este sentido, se evidencia que se requiere que las Centrales de Esterilización incluyan procesos de medición comparativa a través de indicadores comunes y la vinculación del personal en las actividades de los procesos para garantizar la seguridad del paciente. La gestión del riesgo es un factor crítico para la gestión de procesos y el aseguramiento de la calidad.

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SafeCare: An Innovative Approach for Improving Quality Through Standards, Benchmarking, and Improvement in Low- and Middle-Income Countries

Cited by 25 publications

References 11 publications

Implementation of the INTERGROWTH-21 ^st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Implementation of the INTERGROWTH-21 ^st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Raising a mirror to quality of care in Tanzania: the five-star assessment

Identificación de factores clave en la implementación de prácticas de gestión de calidad en Centrales de Esterilización

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SafeCare: An Innovative Approach for Improving Quality Through Standards, Benchmarking, and Improvement in Low- and Middle-Income Countries

Cited by 25 publications

References 11 publications

Implementation of the INTERGROWTH-21 st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Implementation of the INTERGROWTH-21 st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Raising a mirror to quality of care in Tanzania: the five-star assessment

Identificación de factores clave en la implementación de prácticas de gestión de calidad en Centrales de Esterilización

Contact Info

Product

Resources

About

Implementation of the INTERGROWTH-21 ^st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment

Implementation of the INTERGROWTH-21 ^st gestational dating and fetal and newborn growth standards in Nairobi, Kenya: women’s experiences with ultrasound and newborn assessment