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https://www.readbyqxmd.com/read/28610590/a-continuous-quality-improvement-intervention-to-improve-the-effectiveness-of-community-health-workers-providing-care-to-mothers-and-children-a-cluster-randomised-controlled-trial-in-south-africa
#1
Christiane Horwood, Lisa Butler, Pierre Barker, Sifiso Phakathi, Lyn Haskins, Merridy Grant, Ntokozo Mntambo, Nigel Rollins
BACKGROUND: Community health workers (CHWs) play key roles in delivering health programmes in many countries worldwide. CHW programmes can improve coverage of maternal and child health services for the most disadvantaged and remote communities, leading to substantial benefits for mothers and children. However, there is limited evidence of effective mentoring and supervision approaches for CHWs. METHODS: This is a cluster randomised controlled trial to investigate the effectiveness of a continuous quality improvement (CQI) intervention amongst CHWs providing home-based education and support to pregnant women and mothers...
June 13, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28593417/laparoscopic-approach-for-the-treatment-of-chronic-groin-pain-after-inguinal-hernia-repair-laparoscopic-approach-for-inguinodynia
#2
Bruce Ramshaw, Vincent Vetrano, Mayuri Jagadish, Brandie Forman, Eric Heidel, Matthew Mancini
BACKGROUND: Traditional methods of clinical research may not be adequate to improve the value of care for patients with complex medical problems such as chronic pain after inguinal hernia repair. This problem is very complex with many potential factors contributing to the development of this complication. METHODS: We have implemented a clinical quality improvement (CQI) effort in an attempt to better measure and improve outcomes for patients suffering with chronic groin pain (inguinodynia) after inguinal hernia repair...
June 7, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28498186/using-small-tests-of-change-to-improve-pmtct-services-in-northern-nigeria-experiences-from-implementation-of-a-continuous-quality-improvement-and-breakthrough-series-program
#3
Bamidele Osibo, Frank Oronsaye, Oluwafemi D Alo, Abimbola Phillips, Renaud Becquet, Nathan Shaffer, Francis Ogirima, Collins Imarhiagbe, Bernice Ameh, Obioma Ezebuka, Sodzi Sodzi-Tettey, Adaobi Obi, Olusegun T Afolabi, Abutu Inedu, Chukwuma Anyaike, Bolanle Oyeledun
BACKGROUND: Continuous Quality Improvement (CQI) is a process where health teams systematically collect and regularly reflect on local data to inform decisions and modify local practices and so improve delivery of services. We implemented a cluster randomized trial to examine the effects of CQI interventions on Prevention of Mother-to-Child Transmission (PMTCT) services. Here, we report our experiences and challenges establishing CQI in 2 high HIV prevalence states in northern Nigeria...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28498185/the-effect-of-a-continuous-quality-improvement-intervention-on-retention-in-care-at-6-months-postpartum-in-a-pmtct-program-in-northern-nigeria-results-of-a-cluster-randomized-controlled-study
#4
Bolanle Oyeledun, Abimbola Phillips, Frank Oronsaye, Oluwafemi David Alo, Nathan Shaffer, Bamidele Osibo, Collins Imarhiagbe, Francis Ogirima, Abiola Ajibola, Obioma Ezebuka, Bebia Ojong-Etta, Adaobi Obi, John Falade, Adunbi Kareem Uthman, Busuyi Famuyide, Deborah Odoh, Renaud Becquet
BACKGROUND: Retention in care is critical for improving HIV-infected maternal outcomes and reducing vertical transmission. Health systems' interventions such as continuous quality improvement (CQI) may support health services to address factors that affect the delivery of HIV-related care and thereby influence rates of retention-in-care. METHODOLOGY: We evaluated the effect of a CQI intervention on retention-in-care at 6 months postpartum of pregnant women and mothers living with HIV who had been started on lifelong antiretroviral treatment...
June 1, 2017: Journal of Acquired Immune Deficiency Syndromes: JAIDS
https://www.readbyqxmd.com/read/28446232/continuous-quality-improvement-interventions-to-improve-long-term-outcomes-of-antiretroviral-therapy-in-women-who-initiated-therapy-during-pregnancy-or-breastfeeding-in-the-democratic-republic-of-congo-design-of-an-open-label-parallel-group-randomized-trial
#5
Marcel Yotebieng, Frieda Behets, Bienvenu Kawende, Noro Lantoniaina Rosa Ravelomanana, Martine Tabala, Emile W Okitolonda
BACKGROUND: Despite the rapid adoption of the World Health Organization's 2013 guidelines, children continue to be infected with HIV perinatally because of sub-optimal adherence to the continuum of HIV care in maternal and child health (MCH) clinics. To achieve the UNAIDS goal of eliminating mother-to-child HIV transmission, multiple, adaptive interventions need to be implemented to improve adherence to the HIV continuum. METHODS: The aim of this open label, parallel, group randomized trial is to evaluate the effectiveness of Continuous Quality Improvement (CQI) interventions implemented at facility and health district levels to improve retention in care and virological suppression through 24 months postpartum among pregnant and breastfeeding women receiving ART in MCH clinics in Kinshasa, Democratic Republic of Congo...
April 26, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28420542/improving-prehospital-trauma-care-in-rwanda-through-continuous-quality-improvement-an-interrupted-time-series-analysis
#6
John W Scott, Jeanne D'Arc Nyinawankusi, Samuel Enumah, Rebecca Maine, Eric Uwitonze, Yihan Hu, Ignace Kabagema, Jean Claude Byiringiro, Robert Riviello, Sudha Jayaraman
INTRODUCTION: Injury is a major cause of premature death and disability in East Africa, and high-quality pre-hospital care is essential for optimal trauma outcomes. The Rwandan pre-hospital emergency care service (SAMU) uses an electronic database to evaluate and optimize pre-hospital care through a continuous quality improvement programme (CQIP), beginning March 2014. MATERIALS AND METHODS: The SAMU database was used to assess pre-hospital quality metrics including supplementary oxygen for hypoxia (O2), intravenous fluids for hypotension (IVF), cervical collar placement for head injuries (c-collar), and either splinting (splint) or administration of pain medications (pain) for long bone fractures...
April 5, 2017: Injury
https://www.readbyqxmd.com/read/28301397/the-michigan-trauma-quality-improvement-program-results-from-a-collaborative-quality-initiative
#7
Mark Richard Hemmila, Jill L Jakubus, Anne H Cain-Nielsen, John P Kepros, Wayne E Vander Kolk, Wendy L Wahl, Judy N Mikhail
BACKGROUND: American College of Surgeons verified trauma centers and a third-party payer within the state of Michigan built a regional collaborative quality initiative (CQI). The Michigan Trauma Quality Improvement Program began as a pilot in 2008 and expanded to a formal program in 2011. Here, we examine the performance of the collaborative over time with regard to patient outcomes, resource utilization, and process measures. METHODS: Data from the initial 23 hospitals that joined the CQI in 2011 were analyzed...
May 2017: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/28289678/improving-community-health-using-an-outcome-oriented-cqi-approach-to-community-engaged-health-professions-education
#8
Amy Clithero, Simone Jacquelyn Ross, Lyn Middleton, Carole Reeve, Andre-Jacques Neusy
Health professionals providing health-care services must have the relevant competencies and clinical experiences needed to improve population health outcomes in different contexts. Current models of health profession education often fail to produce a fit-for-purpose workforce ready and willing to provide relevant, quality care to underserved communities. Evidence is emerging that community-engaged and socially accountable health workforce education, i.e., aligned with priority health needs, produces a workforce ready and willing to work in partnership with underserved regions...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28277203/assessing-continuous-quality-improvement-in-public-health-adapting-lessons-from-healthcare
#9
Alex Price, Robert Schwartz, Joanna Cohen, Heather Manson, Fran Scott
CONTEXT: Evidence of the effect of continuous quality improvement (CQI) in public health and valid tools to judge that such effects are not fully formed. OBJECTIVE: The objective was to adapt and apply Shortell et al.'s (1998) four dimensions of CQI in an examination of a public health accountability and performance management initiative in Ontario, Canada. METHODS: In total, 24 semi-structured, in-depth interviews were conducted with informants from public health units and the Ministry of Health and Long-Term Care...
February 2017: Healthcare Policy, Politiques de Santé
https://www.readbyqxmd.com/read/28275594/enabling-continuous-quality-improvement-in-practice-the-role-and-contribution-of-facilitation
#10
Gillian Harvey, Elizabeth Lynch
Facilitating the implementation of continuous quality improvement (CQI) is a complex undertaking. Numerous contextual factors at a local, organizational, and health system level can influence the trajectory and ultimate success of an improvement program. Some of these contextual factors are amenable to modification, others less so. As part of planning and implementing healthcare improvement, it is important to assess and build an understanding of contextual factors that might present barriers to or enablers of implementation...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28218984/closing-the-patient-experience-chasm-a-two-level-validation-of-the-consumer-quality-index-inpatient-hospital-care
#11
Alina Smirnova, Kiki M J M H Lombarts, Onyebuchi A Arah, Cees P M van der Vleuten
BACKGROUND: Evaluation of patients' health care experiences is central to measuring patient-centred care. However, different instruments tend to be used at the hospital or departmental level but rarely both, leading to a lack of standardization of patient experience measures. OBJECTIVE: To validate the Consumer Quality Index (CQI) Inpatient Hospital Care for use on both department and hospital levels. DESIGN: Using cross-sectional observational data, we investigated the internal validity of the questionnaire using confirmatory factor analyses (CFA), and the generalizability of the questionnaire for use at the department and hospital levels using generalizability theory...
February 20, 2017: Health Expectations: An International Journal of Public Participation in Health Care and Health Policy
https://www.readbyqxmd.com/read/28206996/the-quest-for-sustained-multiple-morbidity-reduction-in-very-low-birth-weight-infants-the-antifragility-project
#12
J W Kaempf, N M Schmidt, S Rogers, C Novack, M Friant, L Wang, N Tipping
OBJECTIVE: Can a comprehensive, explicitly directive evidence-based guideline for all therapies that might affect the major morbidities of very low-birth-weight (VLBW) infants help a neonatal intensive care unit (NICU) further improve generally favorable morbidity rates? Can Antifragility principles of provider adaptive growth from stressors, enhanced infant risk assessment and adherence to effective therapies minimize unproven treatments and reduce all morbidities? STUDY DESIGN: Prospectively planned observational trial in VLBW infants: control group born October 2011 to September 2013 and study group October 2013 to September 2015...
June 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/28201979/wide-variation-in-sexually-transmitted-infection-testing-and-counselling-at-aboriginal-primary-health-care-centres-in-australia-analysis-of-longitudinal-continuous-quality-improvement-data
#13
Barbara Nattabi, Veronica Matthews, Jodie Bailie, Alice Rumbold, David Scrimgeour, Gill Schierhout, James Ward, Rebecca Guy, John Kaldor, Sandra C Thompson, Ross Bailie
BACKGROUND: Chlamydia, gonorrhoea and syphilis are readily treatable sexually transmitted infections (STIs) which continue to occur at high rates in Australia, particularly among Aboriginal Australians. This study aimed to: explore the extent of variation in delivery of recommended STI screening investigations and counselling within Aboriginal primary health care (PHC) centres; identify the factors associated with variation in screening practices; and determine if provision of STI testing and counselling increased with participation in continuous quality improvement (CQI)...
February 15, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/28152289/cqi-proiect-every-other-day-nocturnal-hhd-an-alternative-approach-to-reduce-burden
#14
(no author information available yet)
More frequent dialysis, typically performed five to six times per week at home, has been associated with a num- ber of clinical, cardiovascular, and health-related quality of life (HRQOL) benefits. Daily therapy often results in a burden for patients and care partners. A continuous qual- ity improvement (CQI) initiative was conducted to evaluate if an alternate day, longer duration therapy (3.5 treatments with six to 10 hour treatments per week) would provide a viable alternative for home hemodialysis (HHD)...
August 2016: Nephrology News & Issues
https://www.readbyqxmd.com/read/28118840/quality-of-care-in-the-intensive-care-unit-from-the-perspective-of-patient-s-relatives-development-and-psychometric-evaluation-of-the-consumer-quality-index-r-icu
#15
Ans Rensen, Margo M van Mol, Ilse Menheere, Marjan D Nijkamp, Ellen Verhoogt, Bea Maris, Willeke Manders, Lilian Vloet, Lisbeth Verharen
BACKGROUND: The quality standards of the Dutch Society of Intensive Care require monitoring of the satisfaction of patient's relatives with respect to care. Currently, no suitable instrument is available in the Netherlands to measure this. This study describes the development and psychometric evaluation of the questionnaire-based Consumer Quality Index 'Relatives in Intensive Care Unit' (CQI 'R-ICU'). The CQI 'R-ICU' measures the perceived quality of care from the perspective of patients' relatives, and identifies aspects of care that need improvement...
January 24, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28030463/promoting-continuous-quality-improvement-in-the-alabama-child-health-improvement-alliance-through-q-sort-methodology-and-learning-collaboratives
#16
Matthew Fifolt, Julie Preskitt, Andrew Rucks, Kathryn Corvey, Elizabeth Cason Benton
OBJECTIVE: Q-sort methodology is an underutilized tool for differentiating among multiple priority measures. The authors describe steps to identify, delimit, and sort potential health measures and use selected priority measures to establish an overall agenda for continuous quality improvement (CQI) activities within learning collaboratives. METHODS: Through an iterative process, the authors vetted a list of potential child and adolescent health measures. Multiple stakeholders, including payers, direct care providers, and organizational representatives sorted and prioritized measures, using Q-methodology...
January 2017: Quality Management in Health Care
https://www.readbyqxmd.com/read/27997941/continuing-to-lift-the-burden-using-a-continuous-quality-improvement-approach-to-advance-aboriginal-tobacco-resistance-and-control
#17
Alvin Lee, Kerri Lucas, Megan A Campbell, Jasmine Sarin
Smoking remains the most preventable cause of early mortality and ill health in Aboriginal people. The Aboriginal Health & Medical Research Council of New South Wales has developed the Aboriginal Tobacco Resistance and Control (ATRAC) Yarning Tool with a range of key stakeholders, to contribute to reducing the prevalence of smoking in Aboriginal communities. The Yarning Tool was adapted from the ATRAC Framework and aims to promote the meaningful discussion, planning and strengthening of tobacco resistance and control activities using a continuous quality improvement (CQI) approach...
December 14, 2016: Public Health Research & Practice
https://www.readbyqxmd.com/read/27931883/quality-of-counselling-for-knee-and-shoulder-arthroscopy-patients-during-day-surgery
#18
Pirjo Kaakinen, Helka Ervasti, Maria Kääriäinen
BACKGROUND: Counselling for day surgery patients is one of the core components for a knee or shoulder arthroscopy patient to succeed in self-care. AIM: This cross-sectional study examined the quality of counselling given to patients (n = 86) during their day surgery, using the Counselling Quality Instrument (CQI). METHODS: The data were analysed using basic and multivariate statistical methods. RESULTS: Most respondents were male and aged over 50 years...
February 2017: International Journal of Orthopaedic and Trauma Nursing
https://www.readbyqxmd.com/read/27920249/evaluating-the-impact-of-continuous-quality-improvement-methods-at-hospitals-in-tanzania-a-cluster-randomized-trial
#19
Yusuke Kamiya, Hisahiro Ishijma, Akiko Hagiwara, Shizu Takahashi, Henook A M Ngonyani, Eleuter Samky
Objective: To evaluate the impact of implementing continuous quality improvement (CQI) methods on patient's experiences and satisfaction in Tanzania. Design: Cluster-randomized trial, which randomly allocated district-level hospitals into treatment group and control group, was conducted. Setting: Sixteen district-level hospitals in Kilimanjaro and Manyara regions of Tanzania. Participants: Outpatient exit surveys targeting totally 3292 individuals, 1688 in the treatment and 1604 in the control group, from 3 time-points between September 2011 and September 2012...
February 1, 2017: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/27881093/continuous-quality-improvement-in-nephrology-a-systematic-review
#20
Julie Wright Nunes, F Jacob Seagull, Panduranga Rao, Jonathan H Segal, Nandita S Mani, Michael Heung
BACKGROUND: Continuous quality improvement (CQI) has been successfully applied in business and engineering for over 60 years. While using CQI techniques within nephrology has received increased attention, little is known about where, and with what measure of success, CQI can be attributed to improving outcomes within nephrology care. This is particularly important as payors' focus on value-based healthcare and reimbursement is tied to achieving quality improvement thresholds. We conducted a systematic review of CQI applications in nephrology...
November 24, 2016: BMC Nephrology
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