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QI SUMMIT 2014


Africa's second annual summit on quality improvement and innovation in health care was hosted by the Best Care...Always! Campaign at the Hospital Association of South Africa (HASA) conference from 15-17 October 2014 at the Sandton Convention Centre, Johannesburg.

KEYNOTE SPEAKERS
Dr Sarah Fraser, International Consultant on Quality and Systems Improvement
Paul Levy, Former CEO, Beth Israel Deaconess Medical Center, Boston
Prof Jeremy Grimshaw, Canada Research Chair in Health Knowledge Transfer and Uptake, University of Ottawa

RESEARCH THEMES (Podium Presentations & Posters)
Session 1: Approaches to Spread and Sustain Best Practices
Session 2: Improving Access to Care
Session 3: Antimicrobial Stewardship & Preventing Healthcare-Associated Infections
Session 4: Getting the Basics Right (Staff Performance, Infection Control & Preventing HAIs)
Session 5: Patient Centered Care & Patient Safety


SPEAKERS

Day 1: Wednesday, 15th October 2014



Session 1: Leading Quality Improvement

The role of leadership in leading Quality Improvement
Paul Levy, Former CEO, Beth Israel Deaconess Medical Center, Boston, MA, USA
Download Slides

Not Running a Hospital Blog
Twitter @paulflevy
Why good practice does not spread in healthcare
Dr Sarah Fraser, Independent International Consultant on Quality and Systems improvement
Sarah Fraser & Associates
Spread Good Practice Blog
Twitter @sarahfraser


Session 2: Applying Quality Improvement Science

The importance of implementation science to help enhance quality improvement activities
Professor Jeremy Grimshaw,
Canada Research Chair in Health Knowledge Transfer and Uptake, University of Ottawa
Download Slides
Using video to illustrate improvement concepts
Dr Michéle Youngleson, Independent Improvement Advisor
Download Slides


Day 2: Thursday, 16th October 2014



Session 3: Healthcare-Associated Infections and Antimicrobial Stewardship

An overview of antimicrobial stewardship in South Africa and work done at Groote Schuur Hospital
Dr Tom Boyles, Infectious Diseases Physician, Groote Schuur Hospital
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The improvement journey around reducing healthcare-associated infections
Dr Malcolm Miller, Intensivist, Groote Schuur Hospital
Download Slides


Session 4: Getting the Foundations Right (National Core Standards)

National Core Standards: Bridging the regulatory environment with improvement science
X, Office of Health Standards Compliance, National Department of Health
Dr Zameer Brey, Chief Operating Officer, South African TB Vaccine Initiative
Download Slides


Session 5: Building Quality Improvement Capability

Building Quality Improvement Capability
Lauren de Kock, Deputy Director, Quality Improvement and Training, Aurum Institute
Download Slides
Ebola Preparedness - Rapid Learning in Practice
Dr Anchen Laubscher, Medical Director : Netcare Hospital Division
Download Slides
Improvement ideas from some of the most remote places in the world,
from Al Jazeera’s new series ‘Lifelines - the Quest for Global Health’
Dr Michéle Youngleson, Independent Improvement Advisor
Watch films:
Lifelines @ Al Jazeera

WORKSHOPS

Workshop 1: Influencing without authority - Behavioural Approaches to Quality Improvement
Dr Sarah Fraser
Sarah Fraser & Associates
Spread Good Practice Blog
Twitter @sarahfraser
Workshop 2: Getting Implementation in Health Care Right:
Behavioural Approaches to Developing Quality Improvement Interventions
Prof Jeremy Grimshaw
Download Slides
Workshop 3: Preventing late onset infections in neonates - BCA for the Newborn Task Team
USANA EXCO member Prof Alan Horn
Download Slides
Workshop 4:
Applying LEAN methodology to healthcare improvement
Paul Levy, Farzana Mohamed
A3 Thinking
Prof Norman Faull, Lean Institute
Download Prof Faull's Slides


PODIUM PRESENTATIONS AND POSTERS

Podium 1: Approaches to spreading and sustaining best practices in healthcare
Presenter
Title
Abstract #
Organization

Maureen
Tshabalala
Eliminating MTCT at scale: A
six country collaboration using
performance improvement methods
70
Institute for
Healthcare
Improvement
Download Poster
Download Presentation
Andriette van
Jaarsveld
Implementation of an Antimicrobial
Stewardship programme in a private
healthcare setting in Southern Africa
61
Mediclinic Southern Africa
Download Poster
Download Presentation
Rene Grobler
Trauma Centre Accreditation as
a Tool for Focussed Performance
Improvement
41
Netcare Milpark Hospital
Download Poster
Download Presentation
Karin Swart
Risk management for the emerging
CRE in SA
34
Netcare Operations Centre
Download Poster
Download Presentation
Linda Pretorius
Neonatal Infection control measures
help save a Penguin species
51
Netcare Operations Centre
Download Poster
Download Presentation
Thabiso
Gaohose
Being reflective about how offering
continued technical support can
have powerful outcomes
29
Aurum
Download Poster
Download Presentation

Podium 2: Using quality improvement to improve access to care
This selection is based on the '3 delays model' (delay in seeking care, delay in accessing care, delay in the provision of adequate care).
[Thaddeus & Maine, 1994]
Presenter
Title
Abstract #
Organization

Craig Grindell
Saving time, saving lives
50
Netcare 911
Download Poster
Download Presentation
Anri van
Deventer
Enhancing efficiency through
successful allocations [Reduced
Waiting Times]
3
Netcare Unitas Hospital
Download Poster
Download Presentation
Mariesa Human
Reduction of blood product
wastage at a Level 1 Trauma
Centre
36
Netcare Milpark Hospital
Download Poster
Download Presentation
Heather Tuffin
Patient Flow Collaborative
11
WC DoH - 11 Hospitals
Flow Collaborative
Download Poster
Download Presentation
Craig Parker
Improving Early Antenatal Care
Booking Rate of Pregnant Women
in a South African Primary
Healthcare Clinic
24
Aurum
Download Poster
Download Presentation
Roshini Moodley
Naidoo
Using an Internationally validated
survey to assess and improve
patient perceptions of primary
care
7
Discovery Health
Download Poster
Download Presentation

Podium 3a: Report from the Frontlines: Antimicrobial Stewardship
Presenter
Title
Abstract #
Organization

Melody Dreyer
The challenge of changing
prescribing practices: how
addressing our use of colistin
changed our perspective
on the correct utilisation of
antimicrobials.
67
Mediclinic Bloemfontein
Download Poster
Download Presentation
A Wessels
Supporting a quality
pharmaceutical service in Life
Healthcare through dispensing
system enhancements.
15
Life Healthcare
Download Poster
Download Presentation
Susan Bester
How we involved critical
role players in an antibiotic
stewardship team in a peri-urban
hospital
12
Mediclinic Paarl
Download Poster
Download Presentation
Marna Basson
Antimicrobial Hang Time of less
than an hour - An achievable and
sustainable goal in the critical
care units of a private hospital
46
Netcare The Bay Hospital
Download Poster
Download Presentation

Podium 3b: Report from the Frontlines: Antimicrobial Stewardship
Presenter
Title
Abstract #
Organization

Liezl Fourie
Pharm-I-See: The Role of the Ward
Pharmacist in Hand-Hygiene
47
Netcare Olivedale
Hospital
Download Poster
Download Presentation
Sonelle Coetzer
Going deeper - Implementing
additional measures to enhance
the effectiveness of the Surgical
Site Infection prevention bundle
6
Mediclinic Highveld -
Trichardt
Download Poster
Download Presentation
Arina Jenkins
The Best Care… Always! CLABSI
Bundle: Reducing CLABSI in a
Public Sector Neonatal ICU
27
WC DoH -
Tygerberg Hospital
Download Poster
Download Presentation

Podium 4: Getting the basics right
Presenter
Title
Abstract #
Organization

Tracy Grant
Developing a remedial
programme to be used at the
campus using lessons learned
from SANC: Final exam results
58
Netcare Education
Download Poster
Download Presentation
Werner Hartdog
&
Lindi van
Heerden
Enhancing Performance
and Development Through
Improvement Science
55
Netcare
Download Poster
Download Presentation
Elani Olivier
Responding to an Acinetobacter
baumanii outbreak in neonatal
and adult ICU
62
Mediclinic Tzaneen
Download Poster
Download Presentation
Lesley Devenish
Improvement of compliance to the
WHO’s “five moments” for hand
hygiene
48
Netcare Operations
Centre
Download Poster
Download Presentation
Maatje Wessels
Whole body Chlorhexidine wash
leads to a reduction in Surgical Site
Infections and saves time
and costs
66
Mediclinic Vergelegen
Download Poster
Download Presentation

Podium 5: Patient Centered Care and Patient Safety

Presenter
Title
Abstract #
Organization

Jamila Chellan
SBAR Communication
10
City Hospital,
Joint Medical
Holdings
Download Poster
Download Presentation
Anne Roodt
Evidence-Based Practice Project:
Reduction of adult patient falls in
an acute care private hospital
18
Life Healthcare
Download Poster
Download Presentation
Leonie Olivier
Improving compliance and
capturing the VTE risk assessment
document upon admission of all
patients
59
Netcare Milpark Hospital
Download Poster
Download Presentation
Sue-Ann
Mohapi
Improving compliance with
regards Discharge information in
Emergency departments?
35
Netcare Trauma Division
Download Poster
Download Presentation


ALL ePosters organized by Category

ANTIMICROBIAL STEWARDSHIP

Abstract #
First Author
Title
Organization

48
Lesley Devenish
Improvement of compliance
to the WHO's "five moments" for hand hygiene
Netcare
Download ePoster
Download Slides
47
Liezl Fourie
Pharm-I-See:
The Role of the Ward Pharmacist in Hand-Hygiene
Netcare
Download ePoster
Download Slides
39
A Messina
Antibiotic Stewardship is in our hands:
A Collaborative approach using the iScrub iPad App.
Netcare
Download ePoster
12
Susan Bester
How we involved critical role players
in an antibiotic stewardship team in a peri-urban hospital
MediClinic
Paarl
Download ePoster
Download Slides
8
Jamila Chellan
Healthcare-associated Infections
and Antibiotic Stewardship
City Hospital,
Joint Medical Holdings
Download ePoster
42
M Griesel
Building blocks for a sustainable Antibiotic Stewardship Program
Netcare
Download ePoster
54
Ansie Zietsman
Antibiotic Stewardship from Zero aiming for Hero:
implementation of the antibiotic stewardship programme at two Netcare hospitals
Netcare
Download ePoster
38
A Messina
Antibiotic Stewardship across 54 Private Hospitals -
The South African Way
Netcare
Download ePoster
61
Andriette van Jaarsveld
Implementation of an Antimicrobial Stewardship programme
in a private healthcare setting in Southern Africa
MediClinic
MCSA
Download ePoster
Download Slides
64
Ian Jordaan
Improvement needs to be continuous:
developing a pharmacy driven approach
to evidence-based antibiotic prescribing
Mediclinic
Constantiaberg
Download ePoster
15
A Wessels
Supporting a quality pharmaceutical service
in Life Healthcare through dispensing system enhancements.
Life Healthcare
Download ePoster
Download Slides
14
Lloyd Kaseke
Development of a training programme
to facilitate clinical pharmacy services at ward level
Life Healthcare
Download ePoster
37
S Naidu
Successful Medication Information Provision -
A marriage between Nursing, Pharmacy and Hospital Management
Netcare
Download ePoster
67
Melody Dreyer
The challenge of changing prescribing practices:
how addressing our use of colistin changed our perspective on the correct utilisation of antimicrobials.
Mediclinic
Bloemfontein
Download ePoster
Download Slides
45
B Collins
Ensuring sustainable antimicrobial medication chart use
Netcare
Download ePoster
43
M Griesel
The Journey to Sustain "Perfect Prophylaxis"
Netcare
Download ePoster
44
B Collins
Hang Time- Implementation of best practice
Netcare
Download ePoster
46
Marna Basson
Antimicrobial Hang Time of less than an hour-
An achievable and sustainable goal
in the critical care units of a private hospital
Netcare
Download ePoster
Download Slides

PATIENT SAFETY - REDUCING HEALTHCARE ASSOCIATED INFECTIONS

Abstract #
First Author
Title
Organization

5
Ellen le Roux
Don’t take your eye off the ball - Challenges in sustaining improvement [VAP]
MediClinic Panorama
Download ePoster
13
Thabiso Bale
ICU NURSES’ KNOWLEDGE REGARDING VENTILATOR-ASSOCIATED PNEUMONIA IN A PRIVATE HOSPITAL GROUP IN GAUTENG
MediClinic Heart Hospital
Download ePoster
27
Arina Jenkins
THE BEST CARE ALWAYS CLABSI-BUNDLE: REDUCING CENTRAL LINE ASSOCIATED BLOODSTREAM INFECTIONS IN A PUBLIC SECTOR NEONATAL INTENSIVE CARE UNIT
WC DoH - Tygerberg Hospital
Download ePoster

Download Slides
33
Kesaree Naidoo
Multidisciplinary Approach to Decrease the Central Line Blood Stream Infection (CLABSi) at Netcare Parklands Hospital
Netcare Parklands Hospital
Download ePoster
6
Sonelle Coetzer
“Going deeper - Implementing additional measures to enhance effectiveness of the Surgical Site Infection prevention bundle”
MediClinic Highveld - Trichardt
Download ePoster
Download Slides
66
Maatje Wessels
Whole body Chlorhexidine wash leads to a reduction in Surgical-site infections and saves time and costs.
MediClinic Vergelegen
Download ePoster
Download Slides
63
Andriette van Jaarsveld
Improving antimicrobial surgical prophylaxis in a highly specialised surgical environment serving organ transplant and oncology patients.
Mediclinic WDGM
Download ePoster
65
Andriette van Jaarsveld
The management of Multidrug resistant organisms in a private hospital from a hospital manager’s perspective
MediClinic Medforum
Download ePoster
31
Yolanda Janse van Rensburg
Management of MDR Pseudomonas aeruginosa in general ICU at Mediclinic Pietermaritzburg
MediClinic Pietermaritzburg
Download ePoster
62
Elani Olivier
Responding to an acinetobacter baumanii outbreak in neonatal and adult and ICU
MediClinic Tzaneen
Download ePoster
Download Slides
34
Karin Swart
Risk management for the emerging CRE in SA
Netcare
Download ePoster
Download Slides

PATIENT SAFETY - REDUCING HARM

Abstract #
First Author
Title
Organization

18
Anne Roodt
EVIDENCE-BASED PRACTICE PROJECT: REDUCTION OF ADULT PATIENT FALLS IN AN ACUTE CARE PRIVATE HOSPITAL
Life Healthcare
Download ePoster
Download Slides
56
Ansie Zietsman
Prevention and management of patients at risk of falling
Netcare
Download ePoster
9
Jamila Chellan
Pressure Ulcers: Prevention, Evaluation, and Management
City Hospital, Joint Medical Holdings
Download ePoster
59
Leonie Olivier
Improving compliance and capturing the VTE risk assessment document upon admission of all patients
Netcare
Download ePoster
Download Slides

HEALTH SYSTEMS STRENGTHENING: QI CONCEPTS

Abstract #
First Author
Title
Organization
QI Concept

69
Ansie Zietsman
An enquiry into the factors affecting QI projects’ impact and sustainability
Netcare
Design, methodology and support
Download ePoster
20
Bonolo Pitse
Leadership is Key in Improving and Sustaining Antenatal ART initiation
Aurum
Leadership
Download ePoster
36
Mariesa Human
Reduction of blood product wastage at a Level 1 Trauma Centre
Netcare
Reducing waste
Download ePoster
Download Slides
3
Anri van Deventer
Enhancing efficiency through successful allocations [Reduced Waiting Times]
Netcare Unitas Hospital
Matching supply and demand
Download ePoster
Download Slides
19
Sylvia Radingoana
Reordering Steps In A Process Can Have A Powerful Impact On Improving Infant 18 Months HIV Testing And Decreasing The Stigma Associated With Testing
Aurum
Reordering steps in a care process
Download ePoster
11
Heather Tuffin
Patient Flow Collaborative
WC DoH - 11 Hospitals Flow Collaborative
Improving flow
Download ePoster
Download Slides
17
Lloyd Kaseke
Best Practice in Continence Management: Improving outcomes through successful Partnerships
Life Healthcare
Evidence based interventions and partnerships
Download ePoster
70
Maureen Tshabalala
Eliminating MTCT at scale: A six country collaboration using performance improvement methods
Institute for Healthcare Improvement
Collaboration
Download ePoster
Download Slides
29
Thabiso
Gaohose
Being reflective about how offering continued technical support can have powerful outcomes
Aurum
Mentoring and Support of QI teams
Download ePoster
Download Slides
26
Craig Parker
Developing proxy measures to track improvement on 6 week PCR testing and 18 month infant HIV testing
Aurum
Measurement
Download ePoster
22
Craig Parker
The Ongoing Development of a PMTCT Change Package in Ekurhuleni
Aurum
Sharing Change Ideas
Download ePoster
51
Linda Pretorius
Neonatal Infection control measures help save a Penguin species
Netcare
Cross-Industry Sharing of Change Ideas
Download ePoster
Download Slides
68
Pauline Masike
Improving Participation of Health Facilities in Quality Improvement Using Social Media in North West Province
Aurum
Using Technology to strengthen systems
Download ePoster

HEALTH SYSTEMS STRENGTHENING: ACCESS TO CARE AND RELIABILITY OF CARE

Abstract #
First Author
Title
Organization
QI Concept

50
Craig Grindell
Saving time, saving lives
Netcare
Improving Access to Care
Download ePoster
Download Slides
49
Ansie Zietsman
Major Incident Medical Management
Netcare
Improving Access to Care
Download ePoster
41
Rene Grobler
Trauma Centre Accreditation as a Tool
for Focussed Performance Improvement
Netcare
Improving Access to Care
Download ePoster
Download Slides
2
Deborah Mashigo
Improving first ANC booking
below 20 weeks at Kempton Park Civic centre clinic
Aurum
Improving Access to Care
Download ePoster
21
Degratia Masenya
Early Antenatal Care Booking Rate Can Be Improved At A Facility Level Despite Conflicting Traditional Beliefs Observed at Sesobe Clinic, Moses Kotane Sub District, North West Province
Aurum
Improving Access to Care
Download ePoster
24
Craig Parker
Improving Early Antenatal Care Booking Rate of Pregnant Women in a South African Primary Healthcare Clinic
Aurum
Improving Access to Care
Download ePoster
Download Slides
25
Craig Parker
Improving the Early Booking Rate of Pregnant Women with a Gestational Age of less than 20 weeks in a South African Public Health Setting
Aurum
Improving Access to Care
Download ePoster
32
Craig Parker
QI METHODOLOGY- A WAY TO IMPROVE 18 MONTHS INFANT HIV TESTING AT DAVEYTON MAIN
Aurum
Increasing the Reliability of Care
Download ePoster
30
Craig Parker
Improving Antenatal care HIV retest rate in Paulos Masha clinic
Aurum
Increasing the Reliability of Care
Download ePoster
23
Craig Parker
Testing all infants for HIV at 18 months irrespective of whether they are HIV exposed or not
Aurum
Increasing the Reliability of Care
Download ePoster
28
Craig Parker
Reducing the Risk of Active TB in HIV Infected Clients by Increasing IPT Uptake Rate at Marishane Clinic
Aurum
Increasing the Reliability of Care
Download ePoster

A FOCUS ON STAFF AND PATIENTS: COMMUNICATION WITH PATIENTS, ABOUT PATIENTS, AND FROM PATIENTS

Abstract #
First Author
Title
Organization

7
Amrita Raniga
Using an Internationally validated survey to assess patient perceptions of primary care
Discovery Health
Download ePoster
Download Slides
10
Jamila Chellan
SBAR Communication
City Hospital, Joint Medical Holdings
Download ePoster
Download Slides
40
Ansie Zietsman
Comprehensive management of patient's pain
Netcare
Download ePoster
52
Ansie Zietsman
Improvement of Pain management
Netcare
Download ePoster
35
Sue-Ann
Mohapi
Improving compliance with regards Discharge information in Emergency departments
Netcare
Download ePoster
Download Slides
53
Ansie Zietsman
Improvement & sustainability in collecting sufficient patient feedback to ensure patient satisfaction
Netcare
Download ePoster

A FOCUS ON STAFF AND PATIENTS: STAFF DEVELOPMENT AND SUPPORT

Abstract #
First Author
Title
Organization

57
Ansie Zietsman
Measuring the impact of constructive feedback to students during completion of the IPC POE
Netcare
Download ePoster
58
Tracy Grant
Developing a remedial programme to be use d at the campus using lessons learned from SANC: Final exam results
Netcare
Download ePoster
Download Slides
55
Werner Hartdog
&
Lindi van
Heerden
Enhancing Performance and Development of Employees in a Private Healthcare Group
Netcare
Download ePoster
Download Slides