Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Thomas, K.
Implementation of a System for Patient Safety and Quality Management in a Peripheral Hospital in South India
Humanmedizin; [ Diplomarbeit/Master Thesis (UNI) ] Graz Medical University; 2018. pp.96.
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- Autor*innen der Med Uni Graz:
- Betreuer*innen:
- Fuchs Gottfried
- Schöpfer Andreas
- Altmetrics:
- Abstract:
- Rationale, aims, and objectives: There are numerous patient safety projects around the world that have the goal of defining and disseminating quality standards. Why some projects are more sustainable than others is not yet fully understood and the efficient use of resources is therefore at risk. The documentation of the course of action is essential for a comparison. Therefore, the first goal of this thesis is to present a project in South India and to share the created concept for implementation of basic measures regarding patient safety and quality management. The second goal is to determine factors that influence the success of the project. Methods: The descriptive part was conducted as a Plan-Do-Check-Act study and data were collected via observation and interviews. The analytic part was performed by carrying out 12 interviews with the hospital employees to pinpoint factors towards improvement. The correlation between the appearance of certain factors and the success of the suggestions was analyzed using the Spearman Correlation. Results: This project is based on the group collaboration between Global Health and Development, an Austrian development aid organization, and a peripheral hospital in South India which is part of the Doctor Typhagne Memorial Charitable Trust. The observation was performed using a self-created checklist and existing international guidelines for discharge, handover, hand hygiene, a surgical safety checklist and a washing facility checklist. The prioritization of implementations was made using an adapted hazard scoring matrix. The entire project showed a success rate of almost 92%. A highly statistically significant, negative correlation with "large" effect size was found between the success of a suggestion and resistance of the patient. The highest success rate regarding immediate implementation showed recommendations that had previously not been implemented due to a lack of a trigger. This factor showed a significant positive correlation and a "medium" effect size. Conclusion: The strongest positive factor for the success of measures was the inclusion of existing ideas of the Indian team during the planning phase. The most negative impact on the acceptance of suggestions was the patient's suspected rejection, which should therefore be reviewed by assessment of the patients’ opinion to eliminate failure due to misconception.