Outlines the principles and frameworks underlying modern quality improvement in healthcare, including the integration of evidence-based medicine in improving clinical quality. Simplifies QI, recognising that this flexible methodology can be applied through a variety of approaches, along a spectrum of increasing complexity. Four applications of QI are described and illustrated with case examples: individual problem solving, rapid team problem solving, systematic team problem solving, and ongoing process improvement. The final section describes a number of useful tools for QI in developing countries.
This document summarizes SEATS' experience in improving the quality of family planning and reproductive health services in a wide variety of settings. It outlines how SEATS approached "mainstreaming" continuous quality improvement in its subprojects, with special emphasis on making services more responsive to clients' concerns. It shows how the project's approach to improving and measuring the quality of care evolved and suggests how to build on the project's experience. The report includes brief case studies from Albania, Cambodia, Eritrea, Russia, Senegal, Turkey, Zambia and Zimbabwe, and describes how the program improved the quality of care in hospitals, public and private clinics, community-based distribution programs, and private midwifery practices. This report is intended for program managers at the systems level, such as those involved with national, regional, or municipal activities, or in institutions such as NGOs or hospitals
This case study looks at how a clinic used a series of quality improvement tools to analyse client satisfaction. These tools included flow charts, fish bone diagrammes, tables, brainstorming and decision matrices. Using two different quality improvement methods, the clinic's utilisation rates and client satisfaction improved. The case study shows how collecting and using client satisfaction data is an important way of bringing clients' voices into the quality improvement process
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