Quality improvement experts examine case studies from around the world
On the second and third days of the Salzburg Global Seminar session Better Health Care: How do we learn about improvement? following input from expert faculty, Fellows expand work on their case studies and consider how they can improve the rigor, attribution and generalizability.
Please see the summary and the case description for background on the case.
The day started with five case studies, each of which obviously grabbed the attention of the participants.
Our group reviewed an improvement project from the Jinja district in Uganda where the facilities planned to improve processes and outcomes for the screening and management of preeclampsia.
The improvement was well documented and three other hidden changes occurred. Although not primary end points the teams recognised each. Screening and management of malaria, screening and management of anaemia and leadership/team culture all improved.
We discussed in detail Deming’s 14 Principles, and the OAM framework (opportunity, ability and motivation) as theory that could be further applied to the original logic model. Our visiting faculty each provided many additional insights, but the following were highlighted: