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

Day 1: Wednesday, 15th October 2014

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

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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

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

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Using video to illustrate improvement concepts
Dr Michéle Youngleson, Independent Improvement Advisor

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Day 2: Thursday, 16th October 2014

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

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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

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Building Quality Improvement Capability
Lauren de Kock, Deputy Director, Quality Improvement and Training, Aurum Institute

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Ebola Preparedness – Rapid Learning in Practice
Dr Anchen Laubscher, Medical Director : Netcare Hospital Division

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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

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Lifelines @ Al Jazeera

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

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Workshop 3: Preventing late onset infections in neonates – BCA for the Newborn Task Team
USANA EXCO member Prof Alan Horn

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Workshop 4:
Applying LEAN methodology to healthcare improvement
Paul Levy, Farzana Mohamed

A3 Thinking
Prof Norman Faull, Lean Institute

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Podium Presentation and Posters

Presenter Title Abstract Organization
Maureen Tshabalala Eliminating MTCT at scale: A six country collaboration using performance improvement methods

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70 Institute for Healthcare Improvement
Andriette van Jaarsveld Implementation of an Antimicrobial Stewardship programme in a private healthcare setting in Southern Africa

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61 Mediclinic Southern Africa
Rene Grobler Trauma Centre Accreditation as a Tool for Focussed Performance Improvement

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41 Netcare Milpark Hospital
Karin Swart Risk management for the emerging CRE in SA

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34 Netcare Operations Centre
Linda Pretorius Neonatal Infection control measures help save a Penguin species

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51 Netcare Operations Centre
Thabiso Gaohose Being reflective about how offering continued technical support can have powerful outcomes

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29 Aurum

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

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50 Netcare 911
Anri van Deventer Enhancing efficiency through successful allocations [Reduced Waiting Times]

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3 Netcare Unitas Hospital
Mariesa Human Reduction of blood product wastage at a Level 1 Trauma Centre

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36 Netcare Milpark Hospital
Heather Tuffin Patient Flow Collaborative

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11 WC DoH – 11 Hospitals Flow Collaborative
Craig Parker Improving Early Antenatal Care Booking Rate of Pregnant Women in a South African Primary Healthcare Clinic

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24 Aurum
Roshini Moodley Naidoo Using an Internationally validated survey to assess and improve patient perceptions of primary care 7 Discovery Health
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

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67 Mediclinic Bloemfontein
A Wessels Supporting a quality pharmaceutical service in Life Healthcare through dispensing system enhancements

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15 Life Healthcare
Susan Bester How we involved critical role players in an antibiotic stewardship team in a peri-urban hospital

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12 Mediclinic Paarl
Marna Basson Antimicrobial Hang Time of less than an hour – An achievable and sustainable goal in the critical care units of a private hospital

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46 Netcare The Bay Hospital
Presenter Title Abstract Organization
Liezl Fourie Pharm-I-See: The Role of the Ward Pharmacist in Hand-Hygiene

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47 Netcare Olivedale Hospital
Sonelle Coetzer Going deeper – Implementing additional measures to enhance the effectiveness of the Surgical Site Infection prevention bundle

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6 Mediclinic Highveld – Trichardt
Arina Jenkins The Best Care… Always! CLABSI Bundle: Reducing CLABSI in a Public Sector Neonatal ICU

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27 WC DoH – Tygerberg Hospital
Presenter Title Abstract Organization
Tracy Grant Developing a remedial programme to be used at the campus using lessons learned from SANC: Final exam results

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58 Netcare Education
Werner Hartdog & Lindi van Heerden Enhancing Performance and Development Through Improvement Science

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55 Netcare
Elani Olivier Responding to an Acinetobacter baumanii outbreak in neonatal and adult ICU

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62 Mediclinic Tzaneen
Lesley Devenish Improvement of compliance to the WHO’s “five moments” for hand hygiene

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48 Netcare Operations Centre
Maatje Wessels Whole body Chlorhexidine wash leads to a reduction in Surgical Site Infections and saves time and costs

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66 Mediclinic Vergelegen
Presenter Title Abstract Organization
Jamila Chellan SBAR Communication

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10 City Hospital, Joint Medical Holdings
Anne Roodt Evidence-Based Practice Project: Reduction of adult patient falls in an acute care private hospital

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18 Life Healthcare
Leonie Olivier Improving compliance and capturing the VTE risk assessment document upon admission of all patients

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59 Netcare Milpark Hospital
Sue-Ann Mohapi Improving compliance with regards Discharge information in Emergency departments?

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35 Netcare Trauma Division

All ePosters organized by Category

Abstract Author Title Organization
48 Lesley Devenish Improvement of compliance to the WHO’s “five moments” for hand hygiene

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Netcare
47 Liezl Fourie Pharm-I-See: The Role of the Ward Pharmacist in Hand-Hygiene

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Netcare
39 A Messina Antibiotic Stewardship is in our hands: A Collaborative approach using the iScrub iPad App

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Netcare
12 Susan Bester How we involved critical role players in an antibiotic stewardship team in a peri-urban hospital

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MediClinic Paarl
8 Jamila Chellan Healthcare-associated Infections and Antibiotic Stewardship

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City Hospital, Joint Medical Holdings
42 M Griesel Building blocks for a sustainable Antibiotic Stewardship Program

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Netcare
54 Ansie Zietsman Antibiotic Stewardship from Zero aiming for Hero: implementation of the antibiotic stewardship programme at two Netcare hospitals Netcare
38 A Messina Antibiotic Stewardship across 54 Private Hospitals – The South African Way

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Netcare
61 Andriette van Jaarsveld Implementation of an Antimicrobial Stewardship programme in a private healthcare setting in Southern Africa

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MediClinic
MCSA
64 Ian Jordaan Improvement needs to be continuous: developing a pharmacy driven approach to evidence-based antibiotic prescribing

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Mediclinic Constantiaberg
15 A Wessels Supporting a quality pharmaceutical service in Life Healthcare through dispensing system enhancements

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Life Healthcare
14 Lloyd Kaseke Development of a training programme to facilitate clinical pharmacy services at ward level Life Healthcare
37 S Naidu Successful Medication Information Provision – A marriage between Nursing, Pharmacy and Hospital Management

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Netcare
67 Melody Dreyer The challenge of changing prescribing practices: how addressing our use of colistin changed our perspective on the correct utilisation of antimicrobials

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Mediclinic Bloemfontein
45 B Collins Ensuring sustainable antimicrobial medication chart use

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Netcare
43 M Griesel The Journey to Sustain “Perfect Prophylaxis”

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Netcare
44 B Collins Hang Time- Implementation of best practice

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Netcare
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

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Netcare
Abstract Author Title Organization
5 Ellen le Roux Don’t take your eye off the ball – Challenges in sustaining improvement [VAP]

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MediClinic Panorama
13 Thabiso Bale ICU nurses’ knowledge regarding ventilator-associated pneumonia in a private hospital group in Gauteng

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MediClinic Heart Hospital
27 Arina Jenkins The best care always CLABSI-bundle:reducing central line associated bloodstream infections in a public sector Neonatal Intensive Care Unit

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WC DoH – Tygerberg Hospital
33 Kesaree Naidoo Multidisciplinary Approach to Decrease the Central Line Blood Stream Infection (CLABSi) at Netcare Parklands Hospital

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Netcare Parklands Hospital
6 Sonelle Coetzer “Going deeper – Implementing additional measures to enhance effectiveness of the Surgical Site Infection prevention bundle”

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MediClinic Highveld – Trichardt
66 Maatje Wessels Whole body Chlorhexidine wash leads to a reduction in Surgical-site infections and saves time and costs

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MediClinic Vergelegen
63 Andriette van Jaarsveld Improving antimicrobial surgical prophylaxis in a highly specialised surgical environment serving organ transplant and oncology patients Mediclinic WDGM
65 Andriette van Jaarsveld The management of Multidrug resistant organisms in a private hospital from a hospital manager’s perspective MediClinic Medforum
31 Yolanda Janse van Rensburg Management of MDR Pseudomonas aeruginosa in general ICU at Mediclinic Pietermaritzburg MediClinic Pietermaritzburg
62 Elani Olivier Responding to an acinetobacter baumanii outbreak in neonatal and adult and ICU

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MediClinic Tzaneen
34 Karin Swart Risk management for the emerging CRE in SA

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Netcare
Abstract Author Title Organization
18 Anne Roodt Evidence-based practice project: Reduction of adult patient falls in an acute care private hospital

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Life Healthcare
56 Ansie Zietsman Prevention and management of patients at risk of falling Netcare
9 Jamila Chellan Pressure Ulcers: Prevention, Evaluation, and Management City Hospital, Joint Medical Holdings
59 Leonie Olivier Improving compliance and capturing the VTE risk assessment document upon admission of all patients

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Netcare
Abstract Author Title Organization QI Concept
69 Ansie Zietsman An enquiry into the factors affecting QI projects’ impact and sustainability Netcare Design, methodology and support
20 Bonolo Pitse Leadership is Key in Improving and Sustaining Antenatal ART initiation Aurum Leadership
36 Mariesa Human Reduction of blood product wastage at a Level 1 Trauma Centre

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Netcare Reducing waste
3 Anri van Deventer Enhancing efficiency through successful allocations [Reduced Waiting Times]

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Netcare Unitas Hospital Matching supply and demand
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
11 Heather Tuffin Patient Flow Collaborative

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WC DoH – 11 Hospitals Flow Collaborative Improving flow
17 Lloyd Kaseke Best Practice in Continence Management: Improving outcomes through successful Partnerships Life Healthcare Evidence based interventions and partnerships
70 Maureen Tshabalala Eliminating MTCT at scale: A six country collaboration using performance improvement methods

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Institute for Healthcare Improvement Collaboration
29 Thabiso Gaohose Being reflective about how offering continued technical support can have powerful outcomes

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Aurum Mentoring and Support of QI teams
26 Craig Parker Developing proxy measures to track improvement on 6 week PCR testing and 18 month infant HIV testing Aurum Measurement
22 Craig Parker The Ongoing Development of a PMTCT Change Package in Ekurhuleni Aurum Sharing Change Ideas
51 Linda Pretorius Neonatal Infection control measures help save a Penguin species

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Netcare Cross-Industry Sharing of Change Ideas
68 Pauline Masike Improving Participation of Health Facilities in Quality Improvement Using Social Media in North West Province Aurum Using Technology to strengthen systems
Abstract Author Title Organization QI Concept
50 Craig Grindell Saving time, saving lives

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Netcare Improving Access to Care
49 Ansie Zietsman Major Incident Medical Management Netcare Improving Access to Care
41 Rene Grobler Trauma Centre Accreditation as a Tool for Focussed Performance Improvement

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Netcare Improving Access to Care
2 Deborah Mashigo Improving first ANC booking below 20 weeks at Kempton Park Civic centre clinic Aurum Improving Access to Care
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
24 Craig Parker Improving Early Antenatal Care Booking Rate of Pregnant Women in a South African Primary Healthcare Clinic

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Aurum Improving Access to Care
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
32 Craig Parker QI methodology – a way to  improve 18 month infant HIV testing at Daveyton Main Aurum Increasing the Reliability of Care
30 Craig Parker Improving Antenatal care HIV retest rate in Paulos Masha clinic Aurum Increasing the Reliability of Care
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
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
Abstract Author Title Organization
7 Amrita Raniga Using an Internationally validated survey to assess patient perceptions of primary care Discovery Health
10 Jamila Chellan SBAR Communication

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City Hospital, Joint Medical Holdings
40 Ansie Zietsman Comprehensive management of patient’s pain Netcare
52 Ansie Zietsman Improvement of Pain management Netcare
35 Sue-Ann Mohapi Improving compliance with regards Discharge information in Emergency departments

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Netcare
53 Ansie Zietsman Improvement & sustainability in collecting sufficient patient feedback to ensure patient satisfaction Netcare
Abstract Author Title Organization
57 Ansie Zietsman Measuring the impact of constructive feedback to students during completion of the IPC POE Netcare
58 Tracy Grant Developing a remedial programme to be use d at the campus using lessons learned from SANC: Final exam results

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Netcare
55 Werner Hartdog & Lindi van Heerden Enhancing Performance and Development of Employees in a Private Healthcare Group

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Netcare