What are South Africa’s health care Quality Improvement needs?

To help assess interest in reviving the Best Care Always campaign we polled the BCA database and asked “what are your QI needs?” More than 50% of respondents indicated the need for training in QI methods, for connecting with others doing similar work, for help with data and measurement and access to scientific evidence in journals. No surprises there? Of this limited survey sample (n=51), the majority are based in the South African public health sector – either exclusively (45.8%) [...]


2 Billion Peripheral IV Catheters – and Most Of Them Fail!

Globally, 2 billion peripheral IV catheters (PIVCs) are placed each year. Most patients admitted to hospital for treatment require one. Surprisingly, 50% or more1-4 have their PIVC removed because it stops working (becomes dislodged or occluded) or because of a complication, such as infiltration, phlebitis or infection. This leads to substantial waste, discomfort, cost, and harm. Despite how common this simple but important procedure is, and how unsatisfactory the outcomes are, the problem of premature PIVC failure is little studied. There [...]