Outcomes of a multicomponent safe surgery intervention in Tanzania's Lake Zone: a prospective, longitudinal study.
Shehnaz AlidinaGopal MenonSteven J StaffaSakshie AlrejaDavid BarashErin BarringerMonica CainerIsabelle CitronAmanda DiMeoEdwin ErnestLaura FitzgeraldHiba GhandourMagdalena GruendlAudustino HellarDesmond T JumbamAdam KatotoLauren KellySteve KisakyeSalome KuchukhidzeTenzing LamaWilliam Lodge IiErastus MainaFabian MassagaAdelina MazhiqiJohn G MearaStella MshanaIan NasonChase ReynoldsCheri ReynoldsHannington SegirinyaDorcas SimbaVictoria SmithChristopher StraderMeaghan SydlowskiLeopold TibyehabwaFlorian TinugaAlena TroxelMpoki UlisubisyaJohn VaralloTaylor WurdemanNoor ZanialDavid ZurakowskiNtuli Angyelile KapologweSarah MaongeziPublished in: International journal for quality in health care : journal of the International Society for Quality in Health Care (2021)
Our findings demonstrate the benefit of the SS2020 approach. Improvement was observed in adherence to safety practices, teamwork and communication, and data quality, and there was a reduction in maternal sepsis rates. Our results support the emerging evidence that improving surgical quality in a low-resource setting requires a focus on the surgical system and culture. Investigation in diverse contexts is necessary to confirm and generalize our results and to understand how to adapt the intervention for different settings. Further work is also necessary to assess the long-term effect and sustainability of such interventions.
Keyphrases
- randomized controlled trial
- minimally invasive
- healthcare
- primary care
- intensive care unit
- acute kidney injury
- quality improvement
- physical activity
- coronary artery bypass
- big data
- adipose tissue
- pregnancy outcomes
- surgical site infection
- atrial fibrillation
- artificial intelligence
- weight loss
- data analysis
- percutaneous coronary intervention