scholarly journals Quality Improvement (QI): A Splendid Driver for Achieving the Third 90 in Addis Ababa, Ethiopia

2018 ◽  
Vol 09 (04) ◽  
Author(s):  
Abay Sisay ◽  
Bekelech Bayou ◽  
Abrham Tesfaye
2018 ◽  
Vol 7 (3) ◽  
pp. e000196 ◽  
Author(s):  
Rhea O’Regan ◽  
Ross MacDonald ◽  
James G Boyle ◽  
Katherine A Hughes ◽  
Joyce McKenzie

AimsThe Scottish Inpatient Diabetes Foot Audit conducted in 2013 revealed that 57% of inpatients had not had their feet checked on admission, 60% of those at risk did not have pressure relief in place and 2.4% developed a new foot lesion. In response, the Scottish Diabetes Foot Action Group launched the ‘CPR for Feet’ campaign. The aim of this project was to raise awareness of the ‘Check, Protect and Refer’ (CPR) campaign as well as improve the assessment and management of inpatients with diabetes.MethodsA quality improvement project underpinned by Plan-Do-Study-Act (PDSA) methodology was undertaken. The first and second cycles focused on staff education and the implementation of a ‘CPR for Feet’ assessment checklist using campaign guidelines, training manuals and modules. The third and fourth cycles focused on staff feedback and the implementation of a ‘CPR for Feet’ care bundle.ResultsBaseline measurements revealed 28% of patients had evidence of foot assessment. Medical and nursing staff reported to be largely unaware of the ‘CPR for Feet’ campaign (13%). Fifty-two per cent of inpatients with diabetes had their feet assessed and managed correctly following the second PDSA cycle. After completion of the third and fourth PDSA this number improved further to 72% and all staff reported to be aware of the campaign.ConclusionsThe introduction of a ‘CPR for Feet’ care bundle improved the assessment of inpatients with diabetes.


Author(s):  
Chieh-Liang Wu ◽  
Chia-Hua Liou ◽  
Shih-An Liu ◽  
Cheng-Hsu Chen ◽  
Wayne H-H Sheu ◽  
...  

Background: Little has been done regarding the research on quality and quantity of patient support groups (PSGs) and how they can be improved. Here, we present three-year experiences of a quality improvement (QI) program of our PSGs. Methods: We launched earlier on a three-year project to improve our PSGs, including the number and quality of curricula. Data were collected on the number of PSGs, curricula, and participants. Results: In the first year, we organized relevant resources of our hospital and established a standard protocol for applying financial support and reporting the results. In the second year, we elected “the best patient” to promote sense of honor and better peer supports. In the third year, we surveyed through questionnaires participants’ health literacy to improve their feedback. Competitions and exhibitions of achievements were held each year to share results of every PSG. Finally, we had increased the volume of participation of patients and family over these three years (3968, 5401 (+35.5%) and 5963 (+50.3%)). Participation of staff also increased significantly (489 and 551 (+12.7%)). Furthermore, more interdisciplinary curricula were generated, with fewer doctors (38.2% to 29%), but greater numbers of the following: nurses (4.9% to 17.4%), nurse practitioners (0.4% to 14.5%), medical laboratory scientists (2.5% to 16.3%), social workers (4.7% to 41.7%), and teachers from outside (0% to 1.8%). Conclusion: In this first study on QI efforts on PSGs, we enlisted a core change team, drew a stakeholder map, and selected an improvement framework with good results.


2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 31-31
Author(s):  
Brian J. Byrne ◽  
Frederick Bailey ◽  
Pat Montanaro ◽  
Patricia Anne DeFusco

31 Background: Neutropenic fever is a medical emergency. Delays in treatment can lead to increase in morbidity, mortality, and increase length of stay. The American Society of Clinical Oncology currently recommends that antibiotics be prescribed within 60 minutes of triage. Literature review shows through a multidisciplinary effort involving the ED, lab, oncology, and pharmacy significant improvement in time to antibiotics can be achieved. Since many patients with neutropenic fever present with sepsis, these guidelines also will need to be followed. Methods: Three PDSA cycles were conducted. The first involved education of the ED staff on the importance of treating neutropenic fever and using the correct antibiotic. The second PDSA cycle involved the laboratory and the calling of critical white counts and low neutrophil counts. The third PDSA involves patient education on the importance of temperature monitoring and reporting they are on chemotherapy to ED staff. Results: Baseline data show only 33% of patients receive the correct antibiotic and the average time to administration is 3 hours and 41 minutes. Results of the quality improvement project show a substantial improvement in time to antibiotic administration to 1 hour 58 minutes and an increase in the percentage of patients who receive the correct antibiotic. The time from the specimen received in the lab until critical called also improved from 1 hour 14 minutes to 18.5 minutes. Conclusions: This quality improvement led to a significant improvement in time to correct antibiotics, but several additional steps need to be taken to meet ASCO guidelines. [Table: see text]


1972 ◽  
Vol 2 (3) ◽  
pp. 44-48
Author(s):  
Yassin El-Ayouty

In January 1972 the UN Security Council accepted the invitation to meet in Africa which had been issued by the African states and, in late January and early February 1972, Addis Ababa was the scene of an historic session. For the first time, Africa's “burning issues” were considered in depth and plans were made to implement earlier decisions adopted in connection with them. Africa's success in having the Council meet on its territory was the culmination of persistent efforts by the African group at the UN aiming, since 1960, at making colonialism and apartheid in Africa matters threatening international peace and security. Today, on the twenty-seventh anniversary of the adoption of the UN Charter, it is necessary to analyze the nature of this evolving relationship between Africa and the World Organization as a case study of UN relationships with the Third World.


2011 ◽  
Vol 17 (1) ◽  
pp. 19-34
Author(s):  
Daniela Gračan ◽  
Gorana Bardak ◽  
Andreja Rudančić-Lugarić

Demand for Croatia as a nautical country constantly maintains the upward trend. The reason for this is the fact that Croatia is on the way to the EU integration as a future equal member state. This fact significantly contributes to Croatia’s openness to the generating market in both economical and in terms of tourism. Nautical tourism of Croatia is profitable which has been recognized by foreign entrepreneurs by directing their fleets to the Adriatic and developing successful and today frequently leading charter companies. The paper defines the charter activity and points out its characteristics. The purpose of the paper is to research, understand and set forth the attitudes of nautical tourists within the charter domain as an activity with the highest annual growth rate in nautical tourism. Methodology used in this paper was questionnaire based on three sections of questions. First section of questions refers to structure of charter companies, the second section of questions refers to the features of demand and season of 2009, and the third section of the questionnaire shows the expectations of charter companies for the season of 2010. Further on, the authors have additionally researched Slovenian charter companies and made the correlation of Slovenian and Croatian charter market.The research in this paper is descriptive, conducted on a one-time basis and on an intentionally selected sample. Based on the results, appropriate conclusions and attitudes have been made also incorporating specific views regarding the quality improvement of a nautical tourist product and charter offer.


2017 ◽  
Vol 37 (6) ◽  
pp. 72-80 ◽  
Author(s):  
Julie M. Stausmire ◽  
Charla Ulrich

This article is the third of a 4-part quality improvement resource series for critical care nurses interested in implementing system process or performance improvement projects. Part 1 defined the differences between research and quality improvement. Part 2 discussed how nurses and managers could identify meaningful quality improvement projects that will make a real difference in their critical care unit while fitting within their time constraints and resources. Part 3 uses the recently revised Standards for Quality Improvement Reporting Excellence guidelines as a basis for designing, implementing, documenting, and publishing quality improvement projects.


1976 ◽  
Vol 21 (6) ◽  
pp. 383-388 ◽  
Author(s):  
David Lippman

Ethiopia, the third most populous country in Africa, having about 27 million people, has a mental health system involving two psychiatric hospitals and six psychiatrists. The author worked as a psychiatrist for six months in the Addis Ababa psychiatric hospital and obtained statistics relating to the patients consulting the outpatient department. Age, sex, occupation, religion, place of origin, alcohol and chat (a local stimulant) usage, diagnosis and previous treatment data were recorded for all the 281 patients evaluated during one 5 1/2 day week. These data are described and analysed, and examples and comments are given additionally on the frequency of some neurological syndromes and the rarity of depression. This latter finding is then discussed in the light of several of the conspicuous oral trends in the upbringing of children and also in the adult life of Ethiopian society.


Author(s):  
Julie A. Bridges ◽  
Mily J. Kannarkat ◽  
Brooke Hooper ◽  
Catherine J. F. Derber ◽  
Bruce Britton ◽  
...  

This case outlines the process of using quality improvement tools during the instructional systems design process. The clerkship curriculum of the third year of medical school was undergoing a complete reform in terms of time and content. An instructional designer was utilized to complete a needs analysis and participate in the instructional systems design process. A need for a common understanding of the language of medical education and instructional design drove the team to utilize the Institute for Healthcare Improvement (IHI) Quality Improvement tools. The reform took 11 months, involved six clerkship directors, multiple administrators, and resulted in consensus among the clerkship directors regarding the knowledge, skills, and attitudes appropriate for a third-year medical student curriculum.


2017 ◽  
pp. 187-204
Author(s):  
Ian Campbell

On Sunday 21st February the massacre continued but was officially terminated by the Fascist Party officials in Addis Ababa at noon. Believed to have been on the orders of Mussolini, who was concerned about news of the massacre demonstrating to the international community that the Italians were actually not in control of Ethiopia, the termination angered the Blackshirts, who defied the Party officials by continuing the killing in the suburbs throughout the third day.


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