Quality Assurance

Facilitated Patient Feedback Can Improve Nursing Care: A Pilot Study for a Phase III Cluster Randomised Controlled Trial

This randomized trials was conducted to test the effectiveness of patient feedback on quality improvement of nursing care in English hospitals. [adapted from abstract]

Regulation and Licensing of Healthcare Professionals in Pacific Island Countries

This brief discusses the need for registration and licensing and their importance to health outcomes, as well as the options and policy implications of such a system for Pacific Island Countries. [adapted from author]

Accreditation of Healthcare Professional Education Programs: A Review of International Trends and Current Approaches in Pacific Island Countries

This review of accreditation for healthcare professionals training and education describes international trends and approaches to the
accreditation of education programs or pathways that prepare graduates for entry to a professional register or to extend scopes of practice. [from author]

Regulation and Licensing of Healthcare Professionals: A Review of International Trends and Current Approaches in Pacific Island Countries

This review describes international trends and approaches to regulatory and licensing systems and the integration of overseas trained healthcare professionals, including international medical graduates. [from summary]

Creating Effective Quality-Improvement Collaboratives: A Multiple Case Study

This study involves an evaluation of a quality-improvement programme for the long-term care in The Netherlands and deals with seven quality-improvement collaboratives focusing on patient safety and client autonomy in order to explore whether differences between collaboratives with respect to type of topic, type of targets and measures (systems) are also reflected in the degree of effectiveness. [adapted from author]

Supervising Healthcare Services Learning Resource Package

This learning resource package for supervisors in medium-to-large facilities and for district-level supervisors is developed around aspects of performance improvement and quality of healthcare services, focusing on essential skills required to work with staff and members of the community in establishing standards and problem solving. [from publisher]

Accreditation in a Sub Saharan Medical School: A Case Study at Makerere University

This analysis paper highlights the process of standard defining for Medical Education in a typically low resourced sub Saharan medial school environment. [from abstract]

Health Systems Strengthening Case Study: Demonstration Project to Strengthen the Community Health Systems to Improve the Performance of Health Extension Workers to Provide Quality Care at the Community Level in Ethiopia

This report outlines a project to apply a quality improvement approach to Ethiopia’s Health Extension Program, which was designed to improve access and utilization of quality preventive, promotive and curative health care services in an accessible and equitable manner to reach all segments of the population, with special attention on mothers and children. [adapted from author]

Checklist for Identifying Determinants of Practice: A Systematic Review and Synthesis of Frameworks and Taxonomies of Factors that Prevent of Enable Improvements in Healthcare Professional Practice

Determinants of practice are factors that might prevent or enable improvements. Several checklists, frameworks, taxonomies, and classifications of determinants of healthcare professional practice have been published. In this paper, we describe the development of a comprehensive, integrated checklist of determinants of practice. [from abstract]

Aspirations for Quality Health Care in Uganda: How Do We Get There?

The authors undertook a qualitative study, along with a large census and health-provider survey in to understand priorities for quality in health care from the perspectives of health workers and community members in Tororo District, Uganda and factors potentially amenable to change that could enable these qualities to be enacted to increase equitable access to quality health care for the local population. [adapted from author]

Unregulated and Unaccountable: How the Private Health Care Sector in India is Putting Women's Lives at Risk

This document argues that the gap left by the public health system combined with a government policy of proactively promoting the private sector has led to the proliferation of private health providers which are unregulated, unaccountable and untrained, causing a serious threat to women’s health. [adapted from author]

Patient Safety and Quality Improvement Education: A Cross-Sectional Study of Medical Students' Preferences and Attitudes

The authors surveyed medical students to assess preferences and attitudes about quality improvement and patient safety education to determine how these important skills could best be integrated into the curiculum. [adapted from abstract]

Private Sector Delivery of Health Services in Developing Countries: A Mixed-Methods Study on Quality Assurance in Social Franchises

The aim of this study was to better understand the quality assurance systems currently utilized in social franchises that deliver private sector health care, and to determine if there are shared standards for practice or quality outcomes that exist across programs. [adapted from abstract]

Human Resources Collaborative: Improving Maternal and Child Care in Niger

This report details the results and impact of a human resources for health quality improvement intervention in Niger. The approach focused on teaching evidence-based human resources interventions that will improve health outcomes. [adapted from author]

Developing Competencies and Professional Standards for Health Promotion Capacity Building in Europe: The CompHP Project Handbooks

Within this document is a set of competencies for Europe, a set of professional standards and a proposal for an accreditation system that will work to ensure greater quality, consistency and effectiveness of the health promotion workforce on this continent. The document contains three handbooks: core competencies framework, professional standards and accreditation framework. [adapted from author]

Regulation of the Non-Medical Healthcare Professions

This document deals with the regulation of health care professionals other than doctors to strengthen procedures for ensuring the performance of non-medical health professionals and other health service staff does not pose a threat to patient safety or effective functioning of services, and to ensure effective continuing professional development and appraisal for these staff. [adapated from introduction]

Assessing Fitness to Practice of Overseas-Trained Health Practitioners by Australian Registration and Accreditation Bodies

Assessment of fitness-to-practice of health professionals trained overseas and who wish to practice in Australia is undertaken by a range of organisations. The purpose of the current paper is to investigate the methods of assessment used by these organisations and the issues associated with conducting these assessments. [from abstract]

African Health Profession Regulatory Collaborative

This article describes the African Health Regulatory Collaborative for Nurses and Midwives, a four-year initiative to increase the collaboration among national stakeholders and help strengthen the capacity of health professional regulatory bodies to reform national regulatory frameworks, and discusses its importance in implementing and sustaining national, regional, and global workforce initiatives. [adapted from abstract]

Optimizing Performance and Quality

This document is an introduction to the optimizing performance and quality process for analyzing the performance of health workers, organizations, and systems, and setting up interventions to improve performance and quality or build on strengths and successes. [adapted from author]

Transporability of Tertiary Qualifications and CPD: A Continuing Challenge for the Global Health Workforce

Difficulties with transportability of qualifications and cross-accreditation are now recognised as key barriers to meeting the rapidly shifting international demands for health care providers. This paper outlines the shortfall of the current indicators in assisting the process of global certification and competency recognition in the health care workforce. [from abstract]

Health Information Technology for Continuous Quality Improvement of HIV Treatment Programs

This compendium of health information technology (HIT) seeks to inform the implementation of HIT to facilitate continuous quality improvement of antiretroviral therapy programs and improved patient outcomes in low and middle income countries. [from author]

Acceptance of the WHO Surgical Safety Checklist among Surgical Personnel in Hospitals in Guatemala City

This study attempted to determining personnel’s acceptance of the surgical safety checklist, which reflects their intention to use the checklist, as well as their awareness and knowledge of the checklist which assesses the effectiveness of the training process. [adapted from abstract]

Regulation of Health Service Delivery in Private Sector: Challenges and Opportunities

This paper reviews and provides an understanding of the private health sector’s role in low- and middle-income countries and its relationship with the governmental capacity to regulate private providers, in particular, and to act as health system steward, in general. [from abstract]

Aligning and Clarifying Health Worker Tasks to Improve Maternal Care in Niger: the Tahoua Region Human Resources Quality Improvement Collaborative

This report describes pioneering work where quality improvement methods are being applied to strengthen human resources management and performance at the facility, district, and regional management levels to improve maternal care in Niger’s Tahoua Region. [from summary]

Community Engagement in Facility-Based Quality Improvement in the Philippines: Lessons for Service Delivery and Governance

This report summarizes a quality assurance project and explains how citizens were engaged at the facility level in improving health service quality, while also contributing to increased responsiveness and accountability on the part of health providers. [adapted from author]

Partnership Defined Quality: A Tool Book for Community and Health Provider Collaboration for Quality Improvement

This manual was designed to be a resource and guide for exploring and planning quality improvement activities through partnership activities involving service providers and the community members that they are meant to serve. [from introduction]

Partnership Defined Quality Facilitation Guide

This facilitation guide is designed as a training supplement to the Partnership Defined Quality manual (PDQ) to enable a facilitator to conduct a PDQ training that will enhance the participants’ understanding of when and how PDQ can be used to strengthen quality and access, and equip them with the skills necessary to adapt and implement PDQ in their programs. [from introduction]

Reproductive Health Services in Malawi: An Evaluation of a Quality Improvement Intervention

The objective of this study was to evaluate the impact of a quality improvement initiative for reproductive health providers on service qualtiy and related outcomes. [adapted from abstract]

Factors Associated with the Impact of Quality Improvement Collaboratives in Mental Health: An Exploratory Study

This study explored which characteristics of health worker quality improvement collaboratives were related to changes in healthcare for patients with anxiety disorders, dual diagnosis, or schizophrenia. [adapted from abstract]

Prioritizing Professional Practice Models for Nurses in Low-Income Countries

This article argues that without a comprehensive model for professional nursing practice, nurses cannot reach their potential in transforming health services delivery where it is most needed. [adapted from author]