Applying scientific methods and evidence to health systems to improve quality of care.

Where we’re going!

During the Best Care…Always! campaign, organisations worked hard to prevent hospital-acquired infections and address other quality and safety priorities.  Read More

Improvement takes a community, offering support from other improvers, learning resources (e.g. learning session content, getting started guides, scientific abstracts, keynote presentations) and sharing of best practices.

We’re excited - about what we’ve done!

During the campaign, many South African hospitals reduced preventable harm in the BCA focus areas.

  • In 18 months Red Cross Childrens’ Hospital reduced ventilator-associated pneumonia by 70% (2011-2012).
  • C27 ICU @ Groote Schuur Hospital went >400 days without a catheter-associated central line infection (2011-2012).
  • Mowbray Maternity Hospital reduced readmissions for septic caesarean section by 73% (2011-2012).
  • From 2014 – 2011 Netcare hospital group reduced CLABSI from 2.25 to 0.9 per 1000 catheter-days.
  • MediClinic hospital group reduced CAUTI by 42.4% to 2.9 per 1000 catheter-days  from 2011 to 2015.
  • Between 2011-2015, Life Healthcare group reduced SSI by 46.8%.

BCA Focus Areas

Systematic, evidence-based approaches to HAI reduction, antibiotic stewardship and other focus areas.

Antibiotic Stewardship

Up to half of antibiotic use is unneeded and antibiotics are losing their effectiveness.

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Catheter Associated Urinary Tract Infection

CAUTI accounts for up to 40% of all healthcare-associated infections, many are preventable.

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Central Line-Associated Bloodstream Infection

CLABSI is potentially deadly – about 1 in 5 people die – but highly preventable.

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Ventilator-Associated Pneumonia

VAP is a grave complication in ICU patients – more than 1 in 10 will die – but can be minimised.

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Surgical Site Infection

Up to 1 in 10 patients get a wound infection from surgery; we can do better.

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Peripheral IV Catheter Insertion *NEW*

Peripheral IV catheters fail prematurely up to 70% of the time and complications (e.g. bloodstream infection) can be serious; we know how to improve.

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Workplace Culture *NEW*

Burnout is common; let’s create great places to work.

Read More »

The Improvement Community

Shared learning is a powerful force for improvement

Results

Hospitals and other health care organisations have worked hard to improve safety, effectiveness, timeliness, efficiency, person-centeredness and equity.

Learning Resources

BCA campaign content – the basics of HAI prevention and antibiotic stewardship, and more advanced materials from Learning Sessions, keynote presentations, abstracts and other documents from 2009-2015. Some material may need updating based on new evidence and/or adaptation to circumstances. Please use judgment and talk to the experts.

Improvers

Local and international improvers – experts and beginners, organisations (e.g. IHI, ISQuA, Lean Institute Africa), provincial and corporate quality professionals, and other individuals and groups working in BCA focus areas.

Sponsors

We thank our generous sponsors!