scholarly journals WaSH CQI: Applying continuous quality improvement methods to water service delivery in four districts of rural northern Ghana

PLoS ONE ◽  
2020 ◽  
Vol 15 (7) ◽  
pp. e0233679
Author(s):  
Michael B. Fisher ◽  
Leslie Danquah ◽  
Zakaria Seidu ◽  
Allison N. Fechter ◽  
Bansaga Saga ◽  
...  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Sisanda Gaga ◽  
Nokuzola Mqoqi ◽  
Raymond Chimatira ◽  
Singilizwe Moko ◽  
Jude O. Igumbor

Background: Continuous quality improvement (CQI) is essential for HIV and tuberculosis (TB) services. Similarly, a thorough understanding of the requirements and impact of CQI is critical to its successful institutionalisation. However, this is currently lacking.Objectives: The objective of this study is to describe the CQI implementation process and examine its effect on HIV and TB service delivery at selected primary healthcare facilities in two South African districts.Method: We used a separate sample, pre- and post-test, quasi-experimental study design based on data collected from the clinical audit of patient cohorts seen in 2014 and 2015 respectively. Quality was measured based on the extent to which prescribed services were provided. Tailored CQI interventions were implemented based on service delivery gaps identified by the 2014 CQI audit. Data were summarised and analysed using a combination of univariate and multivariate analysis.Results: The services identified as low quality were related to opportunistic infections management and laboratory practices. Compliance to prescribed service items in antiretroviral treatment initiation and monitoring, pharmacy and laboratory management, exceeded 70% across study sites. Over 80% of low quality service delivery items were optimised in less than six months with targeted quality improvement support.Conclusion: The observed improvements signal the effectiveness of the CQI approach, its capacity to rapidly improve under-performance, its high replicability and the need to provide quality maintenance support to sustain or improve healthcare facilities performing well. The study strongly underscores the need to improve the management of opportunistic infections and complications, particularly TB.


2019 ◽  
Author(s):  
Addisu Gize Yeshanew ◽  
Nebiyou Wendwessen ◽  
Dereje Teklemariam

Abstract Continuous Quality improvement has become an important aspect of healthcare organizations. The objective of this study was to identify contributing factors for implementing continuous quality improvement projects in health facilities for the better delivery of health care service in the case of south nation and nationalities people, Ethiopia. Cross-sectional study was conducted from April to May 2018 in SNNPR of two district woredas health facilities. Descriptive, bivariate and multivariate analysis used, during the analysis, 0.05 p-value and 95% confidence interval (CI) was used to judge the significance of the associations. So that p-value less than 0.05 were taken as significant association. The finding of this study showed that, a total of 144 health professionals were participated, giving a response rate of 100%. Majority of the respondents (75%) were male and 35% said that their respective health facility implemented continuous quality improvement project. More than halve of (51.4%) the leaders were not receptive for new ideas; moreover, majority of leader were not encouraging learning (62.5%) and not engaged in quality improvement project implementation process (66%). Variables like leaders receptive to new ideas, leaders share information/ data about health facility service delivery status, health facility has a quality improvement project plan, staff know using indicators to tell progress about service delivery, health facility assess client satisfaction level, were the independent predictors of continuous quality improvement(CQI) project implementation.


2020 ◽  
Vol 5 (2) ◽  
Author(s):  
Lyssa Daud ◽  
◽  
Faizal Amin Nur Yunus ◽  
Mohd Bekri Rahim ◽  
Mohd. Zulfadli Rozali ◽  
...  

2021 ◽  
pp. 1-6
Author(s):  
Alberto Migliore ◽  
John Butterworth ◽  
Jeannine Pavlak ◽  
Michael Patrick ◽  
Stephen Aalto

BACKGROUND: Supporting employment consultants in their work with job seekers is critical for increasing the employment outcomes of people with disabilities. OBJECTIVE: To better understand how to leverage data for supporting employment consultants, including what metrics to track, what to do with the data, and what can be improved. METHODS: A panel of three directors of employment programs addressed these questions as part of the Association of People Supporting Employment First (APSE) 2020 conference. RESULTS: Most employment service providers collect data for billing and compliance reporting. Innovative providers leverage data for quality improvement. CONCLUSIONS: Tracking metrics designed specifically for monitoring the implementation of effective employment supports is key for leveraging data for continuous quality improvement and thus improving job seekers’ employment outcomes.


Urology ◽  
2021 ◽  
Author(s):  
Franklin Gaylis ◽  
Ryan Nasseri ◽  
Amirali Salmasi ◽  
Christopher Anderson ◽  
Sarah Mohedin ◽  
...  

2020 ◽  
Vol 34 (1) ◽  
pp. 49-55
Author(s):  
Laura J. Kennedy ◽  
Nathan G. A. Taylor ◽  
Taylor Nicholson ◽  
Emily Jago ◽  
Brenda L. MacDonald ◽  
...  

Healthcare organizations engage in continuous quality improvement to improve performance and value-for-performance, but the pathway to change is often rooted in challenging the way things are “normally” done. In an effort to propel system-wide change to support healthy eating, Nova Scotia Health developed and implemented a healthy eating policy as a benchmark to create a food environment supportive of health. This article describes the healthy eating policy and its role as a benchmark in the quality improvement process. The policy, rooted in health promotion, sets a standard for healthy eating and applies to stakeholders both inside and outside of health. We explain how the policy offers nutrition but also cultural benchmarks around healthy eating, bringing practitioners throughout Nova Scotia Health together and sustaining collaborative efforts to improve upon the status quo.


1995 ◽  
Vol 112 (5) ◽  
pp. P111-P111
Author(s):  
Carl A. Patow

Educational objectives: To understand the principles of continuous quality improvement and to use these principles to enhance patient satisfaction through increased efficiency and improved quality of care.


Midwifery ◽  
2003 ◽  
Vol 19 (4) ◽  
pp. 250-258 ◽  
Author(s):  
Yvonne Engels ◽  
Nicole Verheijen ◽  
Margot Fleuren ◽  
Henk Mokkink ◽  
Richard Grol

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