Bardach, Shoshana H Perry, Amanda N Kapadia, Nirav S Richards, Kathryn E Cogswell, Laura K Hartman, Tyler K
Published in
BMJ Open Quality
Background Preterm infants may remain in neonatal intensive care units (NICUs) to receive proper nutrition via nasogastric tube feedings. However, prolonged NICU stays can have negative effects for the patient, the family and the health system. Aim To demonstrate how a patient-centred, design thinking informed approach supported the development of ...
Jones, Keira Lennon, Emer McCathie, Keighley Millar, Angela Isles, Chris McFadyen, Angus Shearer, Heather
Published in
BMJ open quality
Teledermatology is an important subspecialty of telemedicine that continues to evolve with advances in telecommunication and mobile phone technology. A 19-week primary care quality improvement project collected baseline data and tested three change ideas, using the Model for Improvement method, with primary and secondary aims: to increase the weekl...
Coleridge, Sarah Louise Wiggans, Alison Nelissen, Ellen Bethune, Rob Blackwell, Richard Bryant, Andrew Morrison, Jo
Published in
BMJ Open Quality
Background In 2018, cervical screening uptake was at its lowest level since screening began, particularly in those aged 25–35, coinciding with the peak incidence of cervical cancer and average age at first delivery. Problem Retrospective baseline data of pregnant women found 47.3% (n=123/260) were overdue for screening by delivery, of whom 74% (n=9...
Steenbruggen, Rudi A Dolleman, Guido van Heusden-Scholtalbers, Linda Ag Maas, Marjo Hoogeboom, Thomas J Brand, Paul Wees, Philip van der
Published in
BMJ open quality
For the design of a robust quality system for hospital-based physiotherapy, it is important to know what key stakeholders consider quality to be. To explore key stakeholders' views on quality of hospital-based physiotherapy. We conducted 53 semi-structured interviews with 62 representatives of five key stakeholder groups of hospital-based physiothe...
Nagendla, Pranavi Manju, Ambika Somasekhara Aradhya, Abhishek Shebannavar, Roopa N Venkatagiri, Praveen
Published in
BMJ Open Quality
Background Immediate newborn care processes like delayed cord clamping (DCC) and early breastfeeding initiation (EBFI) in the delivery room have several benefits including survival. Despite the evidence, the practices have not been widely adopted. We used a point-of-care quality improvement (QI) to implement and sustain these two immediate newborn ...
Albon, Dana Thomas, Lacrecia Hoberg, Lindsay Stamper, Sophia Somerville, Lindsay Varghese, Prigi Balasa, Ella Roman, Matthew Britto, Maria T Miner, Melanie
...
Published in
BMJ open quality
The Cystic Fibrosis Foundation chronic care guidelines recommend monitoring clinical status of a patient with cystic fibrosis (CF) through quarterly interdisciplinary visits. At the beginning of the COVID-19 pandemic, the Cystic Fibrosis Learning Network (CFLN) designed and initiated a telehealth (TH) innovation lab (TH ILab) to support transition ...
Fally, Markus Møller, Maria Elizabeth Engel Anhøj, Jacob Tarp, Britta Benfield, Thomas Ravn, Pernille
Published in
BMJ open quality
Clemens, Kristin K Brahmania, Mayur Weernink, Corrine Lofty, Khaled Rjoob, Hani Berberich, Amanda Gob, Alan
Published in
BMJ open quality
In-hospital glycaemic management can reduce post-transplant morbidity, but is not always part of transplant care. We aimed to reduce the mean number of postoperative days in hyperglycaemia (≥2 blood glucose >12 mmol/L in 24 hours) in kidney and liver transplant recipients by 30%. We also aimed to reduce the mean number of days between transplant ad...
Lee, Sally Monz, Brigitta U Clemens, Andreas Brueckmann, Martina Lip, Gregory Y H
Published in
BMJ open
Three oral anticoagulants have reported study results for stroke prevention in patients with atrial fibrillation (AF) (dabigatran etexilate, rivaroxaban and apixaban); all demonstrated superiority or non-inferiority compared with warfarin (RE-LY, ARISTOTLE and ROCKET-AF). This study aimed to assess the representativeness for the real-world AF popul...
Naz, Sumaira Saleem, Shamila Shamsul Islam, Zaheena Bhamani, Shelina Sheikh, Lumaan
Published in
BMJ open quality
Obstetric triage has become one of the most crucial innovations in the field of perinatal care in the past 15 years. In lower- middle- income countries (LMICs), the pregnant patients are seen in a conventional way based on the time of their arrival; this divergent, unbalanced and inequitable approach results in delayed initial evaluation, prolonged...