Projects

CHALLENGE

All parents dream of their child being able to walk, run, go to school and live a healthy, productive life. But taking a step forward is not as simple for all children.

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CHALLENGE

All parents dream of their child being able to walk, run, go to school and live a healthy, productive life. But taking a step forward is not as simple for all children. 1 out of every 750 children born suffers from clubfoot – a birth deformity that severely twists the foot downward and internally at the ankle. Fortunately, children who are diagnosed and treated early with operative procedures have a high recovery rate.

INNOVATION

IHS is working to help transform the lives of these children and has joined hands with Interactive Research and Development (IRD) in the Pehla Qadam Program.

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INNOVATION

IHS is working to help transform the lives of these children and has joined hands with Interactive Research and Development (IRD) in the Pehla Qadam Program.

In a combined effort with the University of Iowa, IHS has created an Android application that connects to the International Clubfoot Registry (ICR). The ICR is a global electronic database for simplified and secure child registration and monitoring, created and maintained by the University of Iowa in partnership with the Ponseti International Association. The application connects to the ICR allowing online and offline data entry, registration of new patients, recording of follow-up visits, and facilitates

The mHealth tool makes it easy for health workers to monitor the quality of care and measure the success of treated children over time and to take clubfoot care into the community.

IHS has created an Android application that connects to the International Clubfoot Registry (ICR). Created and maintained by the University of Iowa in partnership with the Ponseti International Association, the ICR is a global electronic database for simplified and secure child registration and monitoring. The mHealth application connects to the ICR, thus allowing online and offline data entry, registration of new patients, and recording of follow-up visits.

The mHealth tool makes it easy for health workers to monitor the quality of care and measure the success of treated children over time and to take clubfoot care into the community.

CHALLENGE

The World Alliance for Patient Safety (WAPS) estimates that tens of millions of patients worldwide suffer disabling injuries or death due to unsafe medical care annually.

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CHALLENGE

The World Alliance for Patient Safety (WAPS) estimates that tens of millions of patients worldwide suffer disabling injuries or death due to unsafe medical care annually. An estimated 234 million surgical procedures are done globally each year, with a peri-operative mortality rate of 3-17% in industrialized countries. This is estimated to be even higher in developing countries.

Patients risk infections or death by being admitted into hospitals with absent or poor health and safety protocols – especially those being treated in intensive care unit (ICU) patients in developing countries. Tackling patient safety requires using a comprehensive, multifaceted approach involving cultural change, system development and technical expertise.

The Comprehensive Unit Based Safety Program (CUSP) is a program developed by John Hopkins University (JHU) designed to integrate safety practices into the daily work of a unit or clinical area and follows an iterative process to improve patient safety and the culture that drives safety attitudes and practices.

INNOVATION

The Do No Harm project was developed by IHS in June 2012 in collaboration with IRD, USAID, John Hopkins Armstrong Institute for Patient Safety and Quality and The Indus Hospital.

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INNOVATION

The Do No Harm project was developed by IHS in June 2012 in collaboration with IRD, USAID, John Hopkins Armstrong Institute for Patient Safety and Quality and The Indus Hospital. The aim of the project was to test the efficacy of CUSP in Pakistan.

A customized, cost-effective program was developed by IHS in order to investigate adherence to safety protocols in ICU’s and surgical theatres at Indus Hospital. It focused on engaging and education hospital staff, implementing a check on safety protocols and evaluating monthly data on pre-specified indicators to monitor progress.

An open-source Android application was designed and installed on tablet devices in order to ensure that checklists were being followed. The app was used to electronically scan patient information on unique radio-frequency identification (RFID) tags attached to patient identification bracelets already in use in the ICU before, between and after medical procedures. The captured data was directly uploaded to checklists on a web-based database and further generated charts and tables on predefined variables for analysis.

Infection control nurses were educated so that the data could be monitored, evaluated and reported in real time on both the web-dashboard and tablet device to assess the impact and observance to procedures. The hospital staff was trained to learn from mistakes and study the impact of evidence-based intervention checklists in reducing the incidence of surgical errors.

The four types of events in focus were Central Line Associated Blood Stream Infections (CLABSI), Catheter Associated Urinary Tract Infections (CAUTI), Ventilator Associated Pneumonia (VAP) and Surgical Site Infections (SSI).

IMPACT

Through the innovative RFID system developed by IHS, hospital staff was easily able to identify and resolve errors in safety procedures. As a result, a downward trend was seen in the rates of CLABSI and VAP infections.

According to the Hospital Survey on Patient Health Culture (HSOPS) conducted 12 months after the installation of the software, improvements were seen in the average composite scores for several dimensions of safety culture – particularly in feedback and communication in errors, hospital management support for patient safety, communication openness and teamwork within hospital units. Improvements in safety culture also occurred in areas of teamwork within hospital units, supervisor expectations & actions promoting safety and non-punitive response to error.

CLABSI and VAP infections.

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