Quality Improvement

SA and Brazil: the C-section Champions League 

Caesarean section (C-section) rates are higher in SA private hospitals than in American “celebrity hospitals”. But Brazil’s are even higher. Why so high and what can be done? The caesarean section (C-section) rate just published in Discovery Health’s 2017-18 Healthcare Claims Tracker has prompted media comparisons with US hospitals where celebrity moms like Gwyneth Paltrow, Kim Kardashian and Victoria Beckham deliver their celebrity offspring. Cedars-Sinai (Los Angeles) (24.3%) and Mount Sinai Hospital in New York (21.5%) lag behind Discovery’s reported [...]


The Kindness Bundle: compassion and caring make a difference – to outcomes!

In their joint keynote session titled “I have changed my mind” at the IHI International Forum in Glasgow, both Don Berwick and Maureen Bisognano focused on compassion as an issue they have changed their way of thinking about. One example was the white board of information maintained by a long stay facility for the elderly. The white board displays, for staff, not only the patient/resident’s picture, age, resuscitation status, and medical issues, but also “what matters to you” for each person: “2 [...]


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%) [...]