Buy Allopurinol Canada Buy Accutane In Mexico Cialis 20mg Toronto Buy Lipitor Online Usa Clarinex Allergy Pills

///2013 Abstract Details
2013 Abstract Details2019-08-02T16:57:45-05:00

Development of a collaborative continuous quality improvement team to improve maternal and newborn health in northern Ghana

Abstract Number: T 30
Abstract Type: Other

Ronald B George MD FRCPC1 ; Andre Bernard MD MSc FRCPC2; Rohit Ramaswamy PhD MPH3; Solomon Gumanga MD4; Adeyemi Olufolabi MD5

Introduction: Maternal mortality remains a challenge in Africa. The WHO identified “quality of health services” as a key component in improving outcomes in maternal and newborn mortality. Sixty percent of maternal deaths in Ghana can occur within hospitals. It is imperative to improve maternal and perinatal care by strengthening healthcare institutions. Kybele, a US-based NGO and Tamale Teaching Hospital (TTH) began a collaborative Maternal and Newborn Health Quality Improvement Committee (MNHQI). TTH is a tertiary health care and medical education hospital in the northern region of Ghana. The aim of this project is to provide evidence regarding the feasibility, sustainability and effectiveness of implementing a hospital-based QI collaboration for obstetric and neonatal care in a low-resource country. Methods: In 2011, TTH had 6,759 live births, stillborn rate of 56 per 1,000 live births, and a maternal mortality rate of 695 per 100,000 live births. The proposed implementation model follows key tenets of quality improvement, and incorporates a multidisciplinary approach, high-level sponsorship, measurement, feedback, leadership and teamwork coaching, training including QI training, and a focus on patients and systems. The model will be customized to the context and resources of the Ghana Health Service. Primary outcomes will include maternal and perinatal mortality, and case fatality rates (CFRs) for hemorrhage and hypertensive disorders, achieved through the creation of timely, effective (evidence based), efficient interventions. Subsequent interventions will address patient centeredness and equity. Data will be collected via manual abstraction and tested data collection records created by the committee. The MNHQI Committee consists representatives from various aspects of maternal and newborn care. The committee acts at arms-length from hospital administration. The committee reports directly to the CEO and Director of Nursing at TTH. A series of visits to TTH included development of the MNHQI Committee, QI training, a “personal vision for positive change” interview, and leadership teaching. Discussion: CQI is an approach to core process based problems that has worked successfully in health care and industrial settings in western countries to achieve and maintain adequate quality, but its successful implementation requires significant investment of time, resources, and team participation. This approach should assure the quality of important services in a health facility and enable them to respond to core processes of a system. Kybele and TTH have successfully created the MNHQI Committee as of January 2013. Initial training and leadership building has been completed. The first QI project for this committee will be improved latency for STAT pharmacy orders for maternal and newborn wards. Future plans include a leadership forum for all committee members and a large scale QI project to reduce “decision to incision” time for cesarean births.

SOAP 2013