Quality Improvement in Perinatal Medicine: Assessing the Quality of Perinatal Care

Abstract OBJECTIVE: To assist providers of neonatal-perinatal care in the evaluation of present and future practices to optimize benefits for patients. METHODS: Members of the Canadian Paediatric Society Fetus and Newborn Committee and the Society of Obstetricians and Gynaecologists of Canada Maternal-Fetal Medicine Committee reviewed published information on principles of evaluation of care. Selections of published clinical trials in neonatal-perinatal care were used to illustrate specific items. RESULTS: After determining the clinical importance of the area to be considered, appropriate methods should be used to evaluate the quality of evidence and the strength of recommendations. The ability to generalize information to guide care of specific patients must be determined. Consideration of costs may use recognized criteria that consider effectiveness, side effects, financial implications and quality of life. CONCLUSION: Introduction of new treatments to daily practice should be based on demonstrated clinical benefits of treatment, relative freedom from unwanted side effects and cost effectiveness. Application of these principles for neonatal-perinatal care (and other areas) is essential for the modern clinician.

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Educating future professionals in perinatal medicine: the attitude of medical and nursing students towards childbirth

Journal of Perinatal Medicine ◽

10.1515/jpm-2020-0395 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Ernesto González-Mesa ◽

Olga Cazorla-Granados ◽

Marta Blasco-Alonso ◽

Lorena Sabonet ◽

Jesús S. Jiménez-López ◽

...

Keyword(s):

Nursing Students ◽

Perinatal Care ◽

Study Groups ◽

Cross Sectional Study ◽

Perinatal Medicine ◽

Cross Sectional ◽

Childbirth Experience ◽

Biopsychosocial Perspective ◽

The University

AbstractObjectivesThe main objective of the present study was to evaluate what educational needs were being neglected in current perinatal educational program in the University of Malaga.MethodsWe performed a cross-sectional study using the Students’ questionnaire on attitudes towards childbirth (CAVE-st) in a sample of 378 students who were finishing their undergraduate or postgraduate academic perinatal program, including medical and nursing students.ResultsThe Cronbach’s alpha reliability coefficient was 0.895. The mean score of CAVE-st in the sample was 200.34 (DT 21.0). The scores were below the median value in more than 53% of the students, especially in medical students. Female students scored systematically higher in the overall scale and its subscales, even after adjusting for study groups. On the other hand, the students with children scored significantly lower in the subscale that explored their attitudes towards unexpected results. A huge margin for improvement was recognizable in those subscales related with childbirth medicalization, respect to women decisions, and health-care prioritization.ConclusionStudents’ attitude towards childbirth need to be improved as a means to improve women’s childbirth experience and prevent birth-related trauma. The current undergraduate and postgraduate training in perinatal care lacks a comprehensive and biopsychosocial perspective that would improve the quality of clinical practice during childbirth.

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SEKOLAH GRATIS DAN MUTU SEKOLAH: STUDI KASUS DI SMAN 2 BABAT TOMAN MUSI BANYUASIN SUMSEL

Jurnal Dinamika Pendidikan ◽

10.33541/jdp.v8i1.108 ◽

2015 ◽

Vol 8 (1) ◽

pp. 1

Author(s):

Afriantoni Afriantoni ◽

Ibrahim Ibrahim

Keyword(s):

Quality Improvement ◽

Qualitative Method ◽

School Quality ◽

School Policy ◽

School Education ◽

Education Quality ◽

Free School ◽

School Costs

This study aimed to describe in depth between the link of school policy and the school quality improvement. The method in this study is a qualitative method using the case study presented descriptively. This research was conducted at SMA Negeri 2 Babat Tomat Kabupaten Musi Banyuasin. Based on this study it was found that the First, free school policy can help the economy / ease the burden of school costs to be incurred by the parents. Second, the policy constraints of the application for free school educa-tion at SMAN 2 Babat Toman is not very effective, so that the students' interest is not increasing, infrastructure is one of the obstacles in the implementation of free school education, how the quality of schools will be increased if it is not supported by facilities and complete infrastructure. Third, the quality of school education free SMAN 2 Babat Toman already realized well with regard to input, input turns unselected maximum, that is the students. Fourth, the implementation of free school education in Banyuasin, the quality of school SMAN 2 Babat Toman Muba Sumsel was not increased. This means that the implementation for free school education quality of school SMAN 2 Babat Toman was not increased.Keywords : free schools, school quality, case studies

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Edukasi dan Peningkatan Kualitas Pengelolaan Obat di Rumah Tangga: Studi Kasus di Dusun Sidasari Wetan Desa Kubangkangkung Kawunganten Cilacap (Education and Quality Improvement of Drug Management in Family: A Case Study at Dusun Sidasari Wetan, Kubang

JATI EMAS (Jurnal Aplikasi Teknik dan Pengabdian Masyarakat) ◽

10.36339/je.v2i2.160 ◽

2018 ◽

Vol 2 (2) ◽

pp. 93

Author(s):

Hendri Wasito ◽

Hening Pratiwi ◽

Adi Wibowo ◽

Nia Kurnia Solihat

Keyword(s):

Quality Improvement ◽

Home Visit ◽

Behavioral Changes ◽

Drug Management ◽

Educational Effort ◽

The Family ◽

Service Activity ◽

Knowledge And Attitude

Drugs are an important component of health services that are the needs of the community. There is still a lack ofcommunity knowledge of medicines and management especially for family members, hence an educational effort as well asimprovement of quality of drug management in family through training program and mentoring by pharmacist. Thiscommunity service activity aims to determine the knowledge and attitude of the community in managing drugs in the familyand improve the quality of drug management by the community in the family. The activity was conducted in SidasariWetanKubangkangkung Village Kawunganten Cilacap. The workshop on drug management in family was conducted by pharmaciststo the 33 participants. Data collection was done by using questionnaire and observation through home visit. The result of theactivity shows that the increase of knowledge and attitude of the society in managing drugs in the familywere 10% and 7%,respectively. Workshop activities and mentoring by pharmacists can provide benefits and behavioral changes in family drugsmanagement.

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Education in developing countries and reducing maternal mortality: a forgotten piece of the puzzle?

Journal of Perinatal Medicine ◽

10.1515/jpm-2021-0152 ◽

2021 ◽

Vol 0 (0) ◽

Author(s):

Vedran Stefanovic

Keyword(s):

Developing Countries ◽

Maternal Mortality ◽

Meta Analysis ◽

Perinatal Care ◽

Substantial Improvement ◽

Global Strategy ◽

Perinatal Medicine ◽

Technological Advances ◽

Women's Role

Abstract Despite substantial improvement in reducing maternal mortality during the recent decades, we constantly face tragic fact that maternal mortality (especially preventable deaths) is still unacceptably too high, particularly in the developing countries, where 99% of all maternal deaths worldwide occur. Poverty, lack of proper statistics, gender inequality, beliefs and corruption-associated poor governmental policies are just few of the reasons why decline in maternal mortality has not been as sharp as it was wished and expected. Education has not yet been fully recognized as the way out of poverty, improvement of women’s role in the society and consequent better perinatal care and consequent lower maternal mortality. Education should be improved on all levels including girls, women and their partners, medical providers, religious and governmental authorities. Teaching the teachers should be also an essential part of global strategy to lower maternal mortality. This paper is mostly a commentary, not a systematic review nor a meta-analysis with the aim to rise attention (again) to the role of different aspects of education in lowering maternal mortality. The International Academy of Perinatal Medicine should play a crucial role in pushing the efforts on this issue as the influential instance that promotes reflection and dialog in perinatal medicine, especially in aspects such as bioethics, the appropriate use of technological advances, and the sociological and humanistic dimensions of this specific problem of huge magnitude. The five concrete steps to achieve these goals are listed and discussed.

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Engaging community pharmacists in quality improvement (QI): a qualitative case study of a partnership between a Higher Education Institute and Local Pharmaceutical Committees

BMJ Open Quality ◽

10.1136/bmjoq-2020-001047 ◽

2021 ◽

Vol 10 (1) ◽

pp. e001047

Author(s):

Asam Latif ◽

Nargis Gulzar ◽

Fiona Lowe ◽

Theo Ansong ◽

Sejal Gohil

Keyword(s):

Quality Improvement ◽

Focus Groups ◽

Qualitative Methodology ◽

Positive Impact ◽

Community Pharmacists ◽

Educational Institute ◽

Collaboration And Communication ◽

Improve Service Quality ◽

The Impact

BackgroundQuality improvement (QI) involves the use of systematic tools and methods to improve the quality of care and outcomes for patients. However, awareness and application of QI among healthcare professionals is poor and new strategies are needed to engage them in this area.ObjectivesThis study describes an innovative collaboration between one Higher Educational Institute (HEI) and Local Pharmaceutical Committees (LPCs) to develop a postgraduate QI module aimed to upskill community pharmacists in QI methods. The study explores pharmacist engagement with the learning and investigates the impact on their practice.MethodsDetails of the HEI–LPCs collaboration and communication with pharmacist were recorded. Focus groups were held with community pharmacists who enrolled onto the module to explore their motivation for undertaking the learning, how their knowledge of QI had changed and how they applied this learning in practice. A constructivist qualitative methodology was used to analyse the data.ResultsThe study found that a HEI–LPC partnership was feasible in developing and delivering the QI module. Fifteen pharmacists enrolled and following its completion, eight took part in one of two focus groups. Pharmacists reported a desire to extend and acquire new skills. The HEI–LPC partnership signalled a vote of confidence that gave pharmacists reassurance to sign up for the training. Some found returning to academia challenging and reported a lack of time and organisational support. Despite this, pharmacists demonstrated an enhanced understanding of QI, were more analytical in their day-to-day problem-solving and viewed the learning as having a positive impact on their team’s organisational culture with potential to improve service quality for patients.ConclusionsWith the increased adoption of new pharmacist’s roles and recent changes to governance associated with the COVID-19 pandemic, a HEI–LPC collaborative approach could upskill pharmacists and help them acquire skills to accommodate new working practices.

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Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project

Pilot and Feasibility Studies ◽

10.1186/s40814-021-00768-5 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Nataliya Brima ◽

Nick Sevdalis ◽

K. Daoh ◽

B. Deen ◽

T. B. Kamara ◽

...

Keyword(s):

Quality Improvement ◽

Quality Of Care ◽

Sierra Leone ◽

Referral Hospital ◽

Audit And Feedback ◽

Health System Strengthening ◽

Theory Of Change ◽

Improve Quality ◽

Nursing Documentation

Abstract Background There is an urgent need to improve quality of care to reduce avoidable mortality and morbidity from surgical diseases in low- and middle-income countries. Currently, there is a lack of knowledge about how evidence-based health system strengthening interventions can be implemented effectively to improve quality of care in these settings. To address this gap, we have developed a multifaceted quality improvement intervention to improve nursing documentation in a low-income country hospital setting. The aim of this pilot project is to test the intervention within the surgical department of a national referral hospital in Freetown, Sierra Leone. Methods This project was co-developed and co-designed by in-country stakeholders and UK-based researchers, after a multiple-methodology assessment of needs (qualitative, quantitative), guided by a participatory ‘Theory of Change’ process. It has a mixed-method, quasi-experimental evaluation design underpinned by implementation and improvement science theoretical approaches. It consists of three distinct phases—(1) pre-implementation(project set up and review of hospital relevant policies and forms), (2) intervention implementation (awareness drive, training package, audit and feedback), and (3) evaluation of (a) the feasibility of delivering the intervention and capturing implementation and process outcomes, (b) the impact of implementation strategies on the adoption, integration, and uptake of the intervention using implementation outcomes, (c) the intervention’s effectiveness For improving nursing in this pilot setting. Discussion We seek to test whether it is possible to deliver and assess a set of theory-driven interventions to improve the quality of nursing documentation using quality improvement and implementation science methods and frameworks in a single facility in Sierra Leone. The results of this study will inform the design of a large-scale effectiveness-implementation study for improving nursing documentation practices for patients throughout hospitals in Sierra Leone. Trial registration Protocol version number 6, date: 24.12.2020, recruitment is planned to begin: January 2021, recruitment will be completed: December 2021.

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CQI: Meeting the Mandate for Quality

Otolaryngology ◽

10.1016/s0194-5998(05)80278-5 ◽

1995 ◽

Vol 112 (5) ◽

pp. P111-P111

Author(s):

Carl A. Patow

Keyword(s):

Quality Improvement ◽

Patient Satisfaction ◽

Quality Of Care ◽

Continuous Quality Improvement ◽

Educational Objectives ◽

Continuous Quality

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.

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Value-based dentistry: Putting the patient first

Faculty Dental Journal ◽

10.1308/rcsfdj.2016.126 ◽

2016 ◽

Vol 7 (3) ◽

pp. 126-129 ◽

Cited By ~ 2

Author(s):

Sreenivas Koka ◽

Galya Raz

Keyword(s):

Risk Management ◽

Quality Improvement ◽

Quality Of Care ◽

Dental Care ◽

Time Cost ◽

Safety Risk ◽

The Cost ◽

Over Time

What does ‘value’ mean? In the context of dental care, it can be defined as the quality of care received by a patient divided by the cost to the patient of receiving that care. In other words: V =Q/C, where Q equals the quality improvement over time, which most patients view in the context of the outcome, the service provided and safety/risk management, and C equals the financial, biological and time cost to the patient. Here, the need for, and implications of, value-based density for clinicians and patients alike are explored.

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