Comprehensive assessment of pediatric acute and inpatient care at a tertiary referral hospital in Malawi: opportunities for quality improvement.
Elizabeth FitzgeraldEmily Jane CicconeTisungane MvaloMsandeni ChiumeYamikani MgushaTreasure B MkaliaingaAlyssa Evelyn TillyJane ChenGriffin BellHeather CrouseJeff A RobisonMichelle EckerlePublished in: BMJ paediatrics open (2024)
Our data highlight the need to improve the quality of care provided at this tertiary-level centre by focusing on the initial stabilisation of high-acuity patients and augmenting resources to provide comprehensive care. This may include capacity building through the training of specialists, implementation of clinical processes, provision of specialised equipment and increasing access to and reliability of ancillary services. Data collection, analysis and routine use in policy and decision-making must be a pillar on which improvement is built.
Keyphrases
- quality improvement
- healthcare
- palliative care
- patient safety
- primary care
- end stage renal disease
- mental health
- decision making
- affordable care act
- chronic kidney disease
- electronic health record
- public health
- ejection fraction
- newly diagnosed
- big data
- liver failure
- emergency department
- chronic pain
- machine learning
- health insurance
- respiratory failure
- patient reported
- acute respiratory distress syndrome
- adverse drug