Impact of a national quality improvement programme for hospital wards is unclear

2020 ◽  
Author(s):  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Programme ◽  
National Quality ◽  
Improvement Programme ◽  
Hospital Wards

scholarly journals Each baby counts: National quality improvement programme to reduce intrapartum-related deaths and brain injuries in term babies

2017 ◽  
Vol 22 (3) ◽  
pp. 193-198 ◽  
Author(s):  
Louise Robertson ◽  
Hannah Knight ◽  
Edward Prosser Snelling ◽  
Emily Petch ◽  
Marian Knight ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Brain Injuries ◽  
Quality Improvement Programme ◽  
National Quality ◽  
Improvement Programme

scholarly journals Exploring clinicians’ perspectives on the ‘Obstetric Anal Sphincter Injury Care Bundle’ national quality improvement programme: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e035674 ◽  
Author(s):  
Posy Bidwell ◽  
Ranee Thakar ◽  
Ipek Gurol-Urganci ◽  
James M Harris ◽  
Louise Silverton ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Focus Groups ◽  
Anal Sphincter ◽  
Implementation Strategies ◽  
Care Bundle ◽  
Quality Improvement Programme ◽  
Anal Sphincter Injury ◽  
National Quality ◽  
Registration Number ◽  
Improvement Programme

IntroductionObstetric anal sphincter injuries (OASI) can have severe debilitating consequences to women and health systems. The OASI Care Bundle quality improvement programme was introduced in 16 maternity units across England, Scotland and Wales (January 2017 to March 2018) to address increasing OASI rates.ObjectivesTo explore clinicians’ (midwives’ and obstetricians’) perspectives of the OASI Care Bundle with respect to (1) acceptability, (2) feasibility, and (3) sustainability.DesignA qualitative exploratory study using focus groups methodology.SettingA total of 16 focus groups were conducted in 16 maternity units in England, Scotland and Wales where the OASI Care Bundle was implemented. Focus groups took place approximately 3 months following initial implementation of the care bundle in each unit.ParticipantsA total of 101 clinicians participated, with an average of six per focus group. Participants volunteered to take part and compromised of 37 obstetricians and 64 midwives (including eight students). The majority were female and the mean age was 36.5 years.ResultsFour main themes emerged: ‘Implementation strategies’, ‘Opportunities to use the OASI Care Bundle’, ‘Does current practice need to change?’ and ‘Perceptions of what women want’. Midwives were more likely than obstetricians to report themes alluding to ‘what women want’ and variations in intrapartum perineal protection techniques. Both professional groups reported similar views of other themes, in particular regarding the supporting clinical evidence. Gaps were identified in clinicians’ knowledge and experience of intrapartum perineal management.ConclusionsAdoption of the OASI Care Bundle was associated with a number of cognitive and interpersonal factors, such as personal values, interprofessional working and how the intervention was launched; which both facilitated and impeded adoption. The ‘what women want’ theme has implications for maternal autonomy and needs further exploration. Our findings can be used by similar initiatives to reduce perineal trauma both nationally and internationally.Trial registration numberISCTRN 12143325; https://doi.org/10.1186/ISRCTN12143325.

scholarly journals The effect and process evaluations of the national quality improvement programme for palliative care: the study protocol

2014 ◽  
Vol 13 (1) ◽  
Author(s):  
Natasja JH Raijmakers ◽  
Jolien M Hofstede ◽  
Ellen JM de Nijs ◽  
Luc Deliens ◽  
Anneke L Francke
Keyword(s):  
Palliative Care ◽  
Quality Improvement ◽  
Study Protocol ◽  
Quality Improvement Programme ◽  
National Quality ◽  
Improvement Programme ◽  
Process Evaluations

scholarly journals Optimizing carbapenem use through a national quality improvement programme

2018 ◽  
Vol 73 (8) ◽  
pp. 2223-2230 ◽  
Author(s):  
Siân E Robson ◽  
Alison Cockburn ◽  
Jacqueline Sneddon ◽  
Abdulrhman Mohana ◽  
Marion Bennie ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Programme ◽  
National Quality ◽  
Improvement Programme
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