Cargando…

A Multifaceted Intervention to Implement Guidelines and Improve Admission Paediatric Care in Kenyan District Hospitals: A Cluster Randomised Trial

BACKGROUND: In developing countries referral of severely ill children from primary care to district hospitals is common, but hospital care is often of poor quality. However, strategies to change multiple paediatric care practices in rural hospitals have rarely been evaluated. METHODS AND FINDINGS: T...

Descripción completa

Detalles Bibliográficos
Autores principales:	Ayieko, Philip, Ntoburi, Stephen, Wagai, John, Opondo, Charles, Opiyo, Newton, Migiro, Santau, Wamae, Annah, Mogoa, Wycliffe, Were, Fred, Wasunna, Aggrey, Fegan, Greg, Irimu, Grace, English, Mike
Formato:	Texto
Lenguaje:	English
Publicado:	Public Library of Science 2011
Materias:	Research Article
Acceso en línea:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3071366/ https://www.ncbi.nlm.nih.gov/pubmed/21483712 http://dx.doi.org/10.1371/journal.pmed.1001018

Ejemplares similares

Quality of hospital care for sick newborns and severely malnourished children in Kenya: A two-year descriptive study in 8 hospitals
por: Gathara, David, et al.
Publicado: (2011)

An intervention to improve paediatric and newborn care in Kenyan district hospitals: Understanding the context
por: English, Mike, et al.
Publicado: (2009)

Are hospitals prepared to support newborn survival? – an evaluation of eight first-referral level hospitals in Kenya*
por: Opondo, Charles, et al.
Publicado: (2009)

Implementation experience during an eighteen month intervention to improve paediatric and newborn care in Kenyan district hospitals
por: Nzinga, Jacinta, et al.
Publicado: (2009)

Effect of a multi-faceted quality improvement intervention on inappropriate antibiotic use in children with non-bloody diarrhoea admitted to district hospitals in Kenya
por: Opondo, Charles, et al.
Publicado: (2011)

Adoption of recommended practices and basic technologies in a low-income setting
por: English, Mike, et al.
Publicado: (2014)

Implementation of a structured paediatric admission record for district hospitals in Kenya – results of a pilot study
por: Mwakyusa, Sekela, et al.
Publicado: (2006)

Explaining the uptake of paediatric guidelines in a Kenyan tertiary hospital – mixed methods research
por: Irimu, Grace W, et al.
Publicado: (2014)

Effect of Newborn Resuscitation Training on Health Worker Practices in Pumwani Hospital, Kenya
por: Opiyo, Newton, et al.
Publicado: (2008)

What do we think we are doing? How might a clinical information network be promoting implementation of recommended paediatric care practices in Kenyan hospitals?
por: English, Mike, et al.
Publicado: (2017)

Characteristics of admissions and variations in the use of basic investigations, treatments and outcomes in Kenyan hospitals within a new Clinical Information Network
por: Ayieko, Philip, et al.
Publicado: (2016)

Delivery outcomes and patterns of morbidity and mortality for neonatal admissions in five Kenyan hospitals
por: Aluvaala, Jalemba, et al.
Publicado: (2015)

Factors influencing performance of health workers in the management of seriously sick children at a Kenyan tertiary hospital - participatory action research
por: Irimu, Grace W, et al.
Publicado: (2014)

Debating the quality and performance of health systems at a global level is not enough, national debates are essential for progress
por: Ntoburi, Stephen, et al.
Publicado: (2008)

Explaining the effects of a multifaceted intervention to improve inpatient care in rural Kenyan hospitals -- interpretation based on retrospective examination of data from participant observation, quantitative and qualitative studies
por: English, Mike, et al.
Publicado: (2011)

Assessment of paediatric inpatient care during a multifaceted quality improvement intervention in Kenyan District Hospitals – use of prospectively collected case record data
por: Mwaniki, Paul, et al.
Publicado: (2014)

Association of the Paediatric Admission Quality of Care score with mortality in Kenyan hospitals: a validation study
por: Opondo, Charles, et al.
Publicado: (2018)

Prevalence, aetiology, treatment and outcomes of shock in children admitted to Kenyan hospitals
por: Mbevi, George, et al.
Publicado: (2016)

Magnitude and pattern of improvement in processes of care for hospitalised children with diarrhoea and dehydration in Kenyan hospitals participating in a clinical network
por: Akech, Samuel, et al.
Publicado: (2018)

The Prevalence and Management of Dehydration amongst Neonatal Admissions to General Paediatric Wards in Kenya—A Clinical Audit
por: Akech, Samuel, et al.
Publicado: (2018)

Developing guidelines in low-income and middle-income countries: lessons from Kenya
por: English, Mike, et al.
Publicado: (2017)

Prevalence, outcome and quality of care among children hospitalized with severe acute malnutrition in Kenyan hospitals: A multi-site observational study
por: Gachau, Susan, et al.
Publicado: (2018)

Using health worker opinions to assess changes in structural components of quality in a Cluster Randomized Trial
por: Muinga, Naomi, et al.
Publicado: (2014)

An observational study of monitoring of vital signs in children admitted to Kenyan hospitals: an insight into the quality of nursing care?
por: Ogero, Morris, et al.
Publicado: (2018)

Risk factors for mortality and effect of correct fluid prescription in children with diarrhoea and dehydration without severe acute malnutrition admitted to Kenyan hospitals: an observational, association study
por: Akech, Samuel, et al.
Publicado: (2018)

Neonatal mortality in Kenyan hospitals: a multisite, retrospective, cohort study
por: Irimu, Grace, et al.
Publicado: (2021)

Variations in Mortality in Children Admitted with Pneumonia to Kenyan Hospitals
por: Ayieko, Philip, et al.
Publicado: (2012)

Out-of-pocket costs for paediatric admissions in district hospitals in Kenya
por: Barasa, Edwine W, et al.
Publicado: (2012)

Effect of enhanced feedback to hospitals that are part of an emerging clinical information network on uptake of revised childhood pneumonia treatment policy: study protocol for a cluster randomized trial
por: Ayieko, Philip, et al.
Publicado: (2017)

Access to and value of information to support good practice for staff in Kenyan hospitals
por: Muinga, Naomi, et al.
Publicado: (2015)

The Paediatric Admission Quality of Care (PAQC) score: designing a tool to measure the quality of early inpatient paediatric care in a low‐income setting
por: Opondo, Charles, et al.
Publicado: (2016)

Improving documentation of clinical care within a clinical information network: an essential initial step in efforts to understand and improve care in Kenyan hospitals
por: Tuti, Timothy, et al.
Publicado: (2016)

Assessment of neonatal care in clinical training facilities in Kenya
por: Aluvaala, Jalemba, et al.
Publicado: (2015)

Examining Agreement between Clinicians when Assessing Sick Children
por: Wagai, John, et al.
Publicado: (2009)

Variation in and risk factors for paediatric inpatient all-cause mortality in a low income setting: data from an emerging clinical information network
por: Gathara, David, et al.
Publicado: (2017)

Oral Amoxicillin Versus Benzyl Penicillin for Severe Pneumonia Among Kenyan Children: A Pragmatic Randomized Controlled Noninferiority Trial
por: Agweyu, Ambrose, et al.
Publicado: (2015)

Designing a theory-informed, contextually appropriate intervention strategy to improve delivery of paediatric services in Kenyan hospitals
por: English, Mike
Publicado: (2013)

Development of paediatric quality of inpatient care indicators for low-income countries - A Delphi study
por: Ntoburi, Stephen, et al.
Publicado: (2010)

A Multifaceted Intervention to Improve the Quality of Care of Children in District Hospitals in Kenya: A Cost-Effectiveness Analysis
por: Barasa, Edwine W., et al.
Publicado: (2012)

Blood Transfusion Delay and Outcome in County Hospitals in Kenya
por: Thomas, Julius, et al.
Publicado: (2017)

Cannot write session to /tmp/vufind_sessions/sess_a1bis7orm43edat7c2ojlfg4jg