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QI SUMMIT 2015


Africa's third 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 21 - 23 September 2015 at the Cape Town International Convention Centre, Cape Town.

KEYNOTE SPEAKER
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital

PROGRAMME THEMES (Podium Presentations)
Session 1: Improving Care
Session 2: Quality Leadership: Putting the Patient at the Centre of Care
Session 3: Deming's System of Profound Knowledge
Session 4: Increasing Efficiencies and Quality Improvement in Action
Session 5: Learning from What Works Well - Innovative Ideas

RESEARCH THEMES (Posters)
Theme 1: Best Care ...Always! (Antimicrobial Stewardship, Preventing Hospital Acquired Infections, Hand Hygiene & Environmental Cleaning)
Theme 2: Patient Safety (Medication Information, Errors & Hang Time; Preventing DVTs, Pressure Sores and Falls)
Theme 3: Patient Centred Care (Patient Satisfaction, Chronic Care)
Theme 4: Health System Strengthening (Primary Healthcare, Reducing Waste)
Theme 5: Methods and Measurement for Improvement
Other: Core Standards, Staff & Staffing, Leading QI and Innovation

KEYNOTES and PANELS are UP! Podiums & Posters coming now now

SPEAKERS

Day 1: Monday, 21 September 2015



Session 1: Improving Care

Official Welcome to the Quality Improvement Summit
Dr Gary Kantor, co-founder of the Best Care... Always! Campaign and Senior Clinical Consultant, Discovery Health
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Innovating for Quality - What does it take to improve care?
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital
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Introducing Wellness into Quality Improvement
Dr Anchen Laubscher and Angeliki Messina, Netcare
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Twitter for Quality Improvement - How to use social media to connect to advances in quality improvement
Dr Dena van den Bergh, co-founder of the Best Care... Always! Campaign and Director: Quality Leadership, Netcare
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Session 2: Quality Leadership: Putting the Patient at the Centre of Care

Adverse Events: A promise to learn, a commitment to act.
Dr Lloyd Kaseke, Clinical Adviser, Life Healthcare Clinical Directorate
Ellen Le Roux, Clinical Risk Manager, Mediclinic
Facilitator: Yolanda Walsh, Chairperson of the Best Care... Always! QI Summit organising committee and Patient Safety Officer, Mediclinic Southern Africa
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Leadership in Quality Care
Dr Dena van den Bergh, co-founder of the Best Care... Always! Campaign and Director: Quality Leadership, Netcare
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Best Care... Always! Quality Awards
Dr Dena van den Bergh, co-founder of the Best Care... Always! Campaign and Director: Quality Leadership, Netcare
Dr Gary Kantor, co-founder of the Best Care... Always! Campaign and Senior Clinical Consultant, Discovery Health
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Day 2: Tuesday, 22 September 2015



Session 3: Deming's System of Profound Knowledge

Antimicrobial Resistance in South Africa - a brief update on the data
Dr Kim Faure, South African coordinator, Center for Disease Dynamics, Economics & Policy
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Download State of the World's Antibiotics Report 2015
"It is not enough to do your best; you must know what to do, and then do your best."
Insights into Deming's System of Profound Knowledge
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital
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Insights into medical schemes' member quality improvement initiatives
Dr Belinda Richards, Metropolitan Health
Dr Nkuli Mxenge, Discovery Health
Dr Jenni Noble, Medscheme
Download Slides Metropolitan
Download Slides Discovery
Download Slides Medscheme
Turning around quality in a public sector hospital
Dr Rolene Wagner, CEO, Frere Hospital, East London
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Session 4: Increasing Efficiencies and Quality Improvement in Action

Using Limited Resources Efficiently
Prof Norman Faull, Emeritus Professor of Business Administration, Graduate School of Business, University of Cape Town, and Founder & Chairman of Lean Institute Africa
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Patients and lay healthcare workers as a healthcare resource: Panel Discussion on two models of care in which patients and lay healthcare workers are an essential resource.
Antiretroviral Clubs - Lynne Wilkinson, Médecins Sans Frontières together with
Groote Schuur Hospital Adolescent Renal Clinic - Katusha de Villiers, Bertha Centre for Social Innovation and Entrepreneurship, University of Cape Town Graduate School of Business together with

Theatre of Errors - An innovative approach to teaching and learning patient safety in the surgical environment
Dr Gary Kantor, co-founder of the Best Care... Always! Campaign and Senior Clinical Consultant, Discovery Health and Enhanced Recovery after Surgery [ERAS] Project
Fiona Pieterse, ERAS Nurse Coordinator affiliated with Matley and Partners; Director, Integrated Clinical Solutions
Download Slides Theatre of Errors
Download Slides ERAS
Introduction to Mindfulness
Mandy Johnson and Dr. Danielle Klemp
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Day 3: Wednesday, 23 September 2015



From negativity to positivity - How to use Positive Deviance for quality improvement
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital
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The use of Positive Deviance and engaged leadership to improve patient experience outcomes
Mr Sandile Mbele, Regional Director, Netcare Gauteng South West Reigion
Dr Augusta Dorning, Hospital General Manager, Netcare St Augustine's Hospital
Glynis Herselman, Nursing Services Manager, Netcare Unitas Hospital
Mrs Ansie Zietsman, Quality Leadership Manager, Netcare
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Wellness and Twitter Reflections
Yolanda Walsh, Chairperson of the Best Care... Always! QI Summit organising committee and Patient Safety Officer, Mediclinic Southern Africa
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From patient to person - how to respond in the new age of care
Dr Peter Lachman, Deputy Medical Director at Great Ormond Street Hospital, RCPCH National Clinical Lead for S.A.F.E. Closing the Gap Program, International Lead Faculty for RCPI Dublin, and Consultant Pediatrician at Royal Free Hospital
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Closing
Dr Lloyd Kaseke, Clinical Adviser, Life Healthcare Clinical Directorate and member of the Best Care... Always! QI Summit organising committee
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PODIUM PRESENTATIONS

Session 2 Podiums: Putting the Patient at the Centre of Care





Presenter
Title
Abstract #
Organization

Soekie Grant
Pain Management
53
Netcare
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Download ePoster
Mariam Marlie
Small adaptations to the Western Cape’s Client
Satisfaction Survey lead to enhanced Quality
Improvement Outcomes for a Psychiatric Hospital
49
Stikland Hospital,
Western Cape DoH
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Michele de Kock
Undercover Patients!
A Novel Approach to Measuring Patient Experience
19
Life Healthcare
Quality Department
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Tanya Pitt
Using an ongoing Program of Parent Feedback to
Develop a Practical and Sustainable Model
of Family Centred Care in a Neonatal Intensive Care Unit
80
Netcare Waterfall
City Hospital
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Download ePoster

Session 4 Podiums: Increasing Efficiencies
Presenter
Title
Abstract #
Organization

Dr Bon Egbujie
Primary Health Care Clinics Patient
Waiting Time Survey:
Applying a different approach to data collection,
analysis and presentation
37
Kheth’impilo
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Janneke Steyn
Comprehensive focus on a surgical unit
in a private hospital to improve quality care
by efficient staffing
32
Mediclinic Midstream
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Dieter Hartmann
Sweating the Asset: Making Your Theatres
Work For You by Improving Utilisation
39
University of the
Witswatersrand
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Richard Speares
Corporate responsibility and
how we can make a difference [Saving Energy]
65
Netcare Alberlito Hospital
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Download ePoster

Session 5 Podiums: Learning from What Works - Innovations to Improve Quality
Presenter
Title
Abstract #
Organization

Elizabeth Hudson
Bundles of joy - Neonatal CLABSI
61
Netcare
Christiaan Barnard
Memorial Hospital
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Yolanda Walsh
A new approach to measuring peripheral line
associated harm in neonatal critical care units
38
Mediclinic
Southern Africa
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Dr Thameshree Naidu
A risk management approach to improving
compliance with the National Core Standards
in a rural district in KZN
9
Centre for Rural Health,
University of KwaZulu Natal
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Bonolo Pitse
Innovation hubs are an effective spread strategy
46
Aurum Institute
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Lesley Devenish
Environmental hygiene –
improvement by positive feedback
64
Netcare
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Ruth Lancaster
Rational Medicine Use: Improving the usage of colistin
at Life Flora Clinic
10
Life Healthcare
Flora Clinic
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Download ePoster

ALL ePosters organized by Category

Poster Categories:

Best Care Always!
Antimicrobial Stewardship
Preventing HAIs
Hand Hygiene & Environmental Cleaning

Patient Safety
Hang Time & Medication Errors
Medication Information
Preventing DVT, Pressure Sores & Falls

Patient Centered Care
Chronic Care
Patient Satisfaction

Health System Strengthening
Reducing Waste
Primary Health Care
Core Standards
Staff and Staffing

Methods &
Measurement for Improvement


Leading QI


Innovation



Best Care Always!
Antimicrobial Stewardship
Abstract #
First Author
Title
Organization

3

The Evolution of Antimicrobial Stewardship
in a Private Hospital Group
Life
Download ePoster
58

The ‘Building Blocks’
of a Sustainable Antibiotic Stewardship Program,
to Include the Reduction of Antibiotic Utilisation & Infection Rates
Netcare
Download ePoster
75

Pharmacist Intervention
Improves the Early Administration of Antimicrobials
across a 33 Private Hospitals.
Netcare
Download ePoster
77

Reducing Time from Empiric to Appropriate Antimicrobial Therapy
at a Private Hospital.
Netcare
Download ePoster
10

Rational Medicine Use:
Improving the usage of Colistin at Life Flora Clinic
Life
Download ePoster
55

The Precision of Incision –
The Successful Implementation of a Surgical Prophylaxis Project
Netcare
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54

Surgical Prophylaxis
Netcare
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59

The Journey to Sustain Surgical Prophylaxis in a Private Hospital Setting
Netcare
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Best Care Always!
Preventing Hospital Acquired Infections
Abstract #
First Author
Title
Organization

7

SSI Bundle: Being compliant with the Annual Operating Plan
DoH Paarl Hospital
Download ePoster
28

Scrub Up to Prevent Surgical Site Infections
DoH Mamelodi
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56

BCA Bundle CAUTI Prompt List
Netcare
Download ePoster
41

Leveraging learning from managing the risk of suspected and confirmed cases of Viral Haemorrhagic Fever (VHF), specifically Ebola Virus Disease (EVD), in a private hospital group in South Africa
Netcare
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14

A record review of multi-drug resistant Tuberculosis in Sedibeng district, Gauteng Province.
DoH Johan Heyns Community Health Centre
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52

'Hi5' Quality Improvement Initiative
Netcare
Download ePoster
61

Bundles of joy - Neonatal CLABSI
Netcare
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86

(NICU) CLABSI - The Challenge to Maintain Compliance and Surveillance
DoH Tygerberg Hospital
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Best Care Always!
Hand Hygiene & Environmental Cleaning
Abstract #
First Author
Title
Organization

2

Accepting the challenge -the impact on hand hygiene compliance through focusing on a single discipline.
Mediclinic Highveld
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25

Increasing Hand Hygiene Adherence in a Heart Hospital
Mediclinic
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23

Developing a pharmacy-driven hand hygiene product usage tool to objectively measure hand hygiene practice
Mediclinic WDG
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15

Spotlight on Cleanliness – using a fluorescent marker to improve environmental cleaning
Life
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64

Environmental hygiene – improvement by positive feedback
Netcare
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16

Improving Primary Healthcare Facility Compliance with National Core Standards Cleanliness Requirements in Bushbuckridge, Mpumalanga
Right to Care
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18

Implementation of Environmental Hygiene Audit Due to Difference in Perception of Cleanliness of the Hospital
Urology Hospital
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Patient Safety
Abstract #
First Author
Title
Organization

67

Limiting Complications After Percutaneous Coronary Interventions Through Early Detection and Management.
Netcare
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29
Jamila Chellan
Using the International Patient Safety Goals in Daily Nursing Practice
JMH Group
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76

Quality focus delivers results
Netcare
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Patient Safety
Hang time & Medication Errors
Abstract #
First Author
Title
Organization

6

Improving antibiotic hang times in a Cape Town government emergency centre
DoH New Somerset Hospital
Download ePoster
8

A quality improvement project to reduce medication errors in a private hospital group in South Africa
Life
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11

Targeted Interventions Reduce Pharmacy Medication Incidents
Life
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12

An investigation into the number and type of medication prescribing errors in an Intensive Care Unit and whether interventions can reduce these errors
Life The Glynnwood
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22

Use of a systems-thinking and a human-factors framework to investigate and learn from serious medication errors
Mediclinic Milnerton
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Medication Information
Abstract #
First Author
Title
Organization

66

Quality improvement in medication information to patients
Netcare
Download ePoster
70

Making Educating before Medicating part of our Day
Netcare
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Patient Safety
Preventing DVT, Pressure Sores & Falls
Abstract #
First Author
Title
Organization

57

Medication Safety- DVT compliance and prophylaxis
Netcare
Download ePoster
60

A collaborative approach in managing thromboprophylaxis in a private hospital setting
Netcare
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79

Pressure lesion initiative
Netcare
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27

Reduction of patient falls in Mediclinic Bloemfontein
Mediclinic
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33

Ongoing efforts to reduce falls - reconsidering the role of care workers and introducing a communication notice board
Mediclinic Vergelegen
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Patient Centered Care
Abstract #
First Author
Title
Organization

19

Undercover Patients! A Novel Approach to Measuring Patient Experience
Life Healthcare Quality Department
Download ePoster
53

Pain Management
Netcare
Download ePoster

Patient Centered Care
Chronic Care
Abstract #
First Author
Title
Organization

69

Early Survival on Maintenance Dialysis Therapy in South Africa: The Impact of a Predialysis Education Programme
Netcare
Download ePoster
63

Quality of Life of Chronic Dialysis Patients - A Vital Standard of Care
Netcare
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Patient Centered Care
Patient Satisfaction
Abstract #
First Author
Title
Organization

80

Using an ongoing Program of Parent Feedback to Develop a Practical and Sustainable Model of Family Centred Care in Neonatal Intensive Care Unit
Netcare
Download ePoster
82

Developing a communication approach to spread improvement and engage teams in Emergency Departments
Netcare
Download ePoster
83

QI skill and access to information builds buy-in and improves patient satisfaction outcomes
Netcare
Download ePoster
49

Small adaptations to the Western Cape’s Client Satisfaction Survey leads to enhanced Quality Improvement outcomes for a psychiatric hospital
DoH Stikland Psychiatric Hospital
Download ePoster

Health System Strengthening
Reducing Waste
Abstract #
First Author
Title
Organization

39

Sweating the Asset: Making Your Theatres Work For You, By Improving Utilisation
Wits
Download ePoster
43

Lean Healthcare: Doing More with Less
Wits
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72

Time Saves Lives!
Netcare
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73

Decrease in Emergency Department Waiting Time
Netcare
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5

Reducing bed block by improving the discharge process at New Somerset Hospital (NSH)
DoH New Somerset Hospital
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65

Corporate responsibility and how we can make a difference
Netcare
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Health System Strengthening
Primary Health Care
Abstract #
First Author
Title
Organization

4
Lorraine Semenya
Leratong Hospital- will we reach the Malaria Elimination Strategy goals set by 2018?
DoH Leratong Hospital
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17
Lesego Mawela
Improving ART Initiation rate in HIV infected Pregnant Women, Nkomazi Sub-district, Mpumalanga South Africa
Right to Care
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44
Londiwe Mthethwa
Improving infants rapid HIV testing around 18 months in KwaDukuza Sub-District
DoH 20 000+ / UKZN
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24
Amos Ndlovu
DCS QI Project: ART Initiation
Aurum / Gauteng DCS
Download ePoster
34
Alinah Denge
Improving Antiretroviral Therapy (ART) Initiation in HIV positive inmates at Krugersdorp District Correctional Service, Gauteng
Aurum / Krugersdorp DCS
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13
Alinah Denge
Improving Twelve Months Viral Load Completion For Patients At Vosloorus Poly Clinic, Ekurhuleni
Aurum / DoH Vosloorus PolyClinic
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51
Cornelius Jack
Improving Condom Distribution
Aurum
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20
Lawrance Mpapele
Reducing the Risk of Active TB in HIV Infected Clients by Increasing IPT Uptake Rate at Selala Clinic in Limpopo Province
Aurum
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26
Bonolo Pitse
Empowered Staff and Clients can improve cervical screening coverage in a Primary Health Care facility
Aurum / Witfontein Clinic
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35
Winnet Chinogwenya
Root cause analysis as a fundamental step to improvement in the HIV Counselling and Testing programme
Aurum / DoH Ekurhuleni North sub-district
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36
Winnet Chinogwenya
The Plan-Do-Study-Act cycle provides a responsive way of obtaining and responding to data for the improvement of future performance
Aurum / DoH Ekurhuleni North sub-district
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40
Degratia Masenya
Addressing Primary Drivers is the key to the Success of any Quality Improvement Project
Aurum
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Health System Strengthening
Core Standards
Abstract #
First Author
Title
Organization

9
Thameshree Naidu
A risk management approach to improving compliance with the National Core Standards in a rural district in KZN
UKZN / DoH
Download ePoster
71

Investment in Staff and Unit Management development leads to improvement in Core Standards Results and Nursing Dashboard Results
Netcare
Download ePoster

Health System Strengthening
Staff and Staffing
Abstract #
First Author
Title
Organization

31

A quality improvement plan, in a private surgical unit, to improve doctor satisfaction.
Mediclinic Midstream
Download ePoster
32

Comprehensive focus on a surgical unit in a private hospital to improve quality care by efficient staffing
Mediclinic Midstream
Download ePoster
81

Developing Academic and Social Skills for nursing studies
Netcare
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Measurement for Improvement & Methods
Abstract #
First Author
Title
Organization

37

Primary Health Care Clinics Patient Waiting time survey: Applying different Approach to data collection, analysis and presentation
Kheth'impilo / DoH Amajuba
Download ePoster
38

A new approach to measuring peripheral line-associated harm in neonatal intensive care units
Mediclinic
Download ePoster
45

Ensuring your data reflects what you actually do
Aurum
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21

Understanding data indicators can Improve Women’s Health by Increasing Cervical Cancer Screening Uptake at Witfontein Clinic
Aurum / Witfontein Clinic
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48

Retrospective data analysis reveals a sustained increase in referral of potential deceased organ donors to Transplant Coordinators in Groote Schuur Hospital
DoH GSH
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74

The importance of obtaining valid email addresses and mobile numbers
Netcare
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50

Clinical Key Performance Indicator Dashboard: Lessons Learnt in going from a Pilot to Implementation
Mediclinic
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42

A complex adaptive system requires a responsive adaptive strategy
Aurum
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46

Innovation hubs are an effective spread strategy
Aurum
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Leading QI
Abstract #
First Author
Title
Organization

30

Sustaining the Best Care Always project in the Western Cape Government
Western Cape DoH
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68

Engineering a flow for Quality Review Process for the new unit manager in order to deal with the expected, un-expected and everything in between
Netcare
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78

Tacit knowledge sharing as avenue for improved quality outcomes
Netcare
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84

Collective High Impact Leadership(CHIL) – A one-hundred-day intervention to co-create a step-change in patient feedback scores across 17 hospitals
Netcare
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Innovation
Abstract #
First Author
Title
Organization

62

Sustaining improvement helps save the African Penguin
Netcare
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