Patient Safety in Action: Building strong and effective Partnerships – World Health Organization

Change is possible in an African hospital through a partnership based approach. Partnership working can be a channel for change when there is individual passion supported by institutional support The strong partnership between Kisiizi and Chester is the foundation upon which change has been stimulated.

Dr Tonny Tumwesigye, Medical Superintendent, Church of Uganda Hospital, Kisiizi and Mrs Sarah Hoyle, APPS Focal Point, Countess of Chester Hospital, England.

The unique APPS partnership-based approach to patient safety improvement can bring benefits to both arms of the partnership. The nature of these benefits is distinct in either arm. Though the nature of this bidirectional learning can often be hidden at first, especially for resource-richer partners, multiple forms of knowledge exist and learning flows in both directions.

APPS works with multiple partnerships across the region.

The APPS Approach to patient safety improvement has been informed by five years of partnerships and their collective learning and experience that has helped in the development of the tools and resources.

Large map

The APPS Approach to patient safety improvement has been informed by five years of partnerships and their collective learning and experience that has helped in the development of the tools and resources.

Kisiizi Hospital is a 250 bed rural-based general hospital that serves a population of 300,000. It provides a wide range of services including primary health care. 300 staff are employed at the hospital, including 7 doctors and 100 nurses. The hospital runs a series of successful community based initiatives including generating its own electricity by hydroelectric power.

The Countess of Chester Hospital NHS Foundation Trust is a 600 bed, single site general hospital. The Trust has over 3,000 employees and provides acute, emergency and elective services, primary care direct access services and obstetric services to more than 425,000 patients a year primarily from Chester and surrounding rural areas in the north-west of England. The Countess of Chester Hospital NHS Foundation Trust was one of the first ten Foundation Trusts to be established in April 2004 as a public-benefit corporation independent of government control.

Kamuzu Central Hospital is a 780 bed tertiary level hospital which provides referral services for five district hospitals. The hospital provides ICU, internal medicine, gynaecology, paediatrics, general surgery and orthopaedic services and is also the only dialysis centre in the country. The population in the direct community numbers 620,000 but the hospital also serves the population across the wider region of around 4 million in total. The hospital has 59 doctors and 286 nursing staff.

South Tees Hospitals NHS Foundation Trust is the largest trust in the Tees Valley. The trust provides health care for over 400,000 people from two main sites, the James Cook University Hospital in Middlesbrough and the Friarage Hospital, Northallerton. The trust has a 7,000 strong workforce, which offers particular expertise in heart disease, trauma, neurosciences, renal services and spinal injuries. The organization also works in close partnership with a Ministry of Defence Hospital unit based at the Friarage Hospital. The trust is also host site for the County Durham and Tees Valley Local Clinical Research Network and a host site for the North East Research Design Service, reaffirming the trusts commitment to training, life-long learning and research.

University of Gondar Hospital is a 400 bed university hospital, which acts as the referral centre for four district hospitals in the area. It has a range of specialities including paediatrics, surgery, gynaecology, psychiatry, HIV care and an outpatients clinic. Within its 400 staff it employs 50 doctors, 150 nursing staff, three pharmacists, 90 care staff and 25 laboratory scientists. These staff serve a population of four million across the region. As a university hospital, it plays an important role in teaching medical and nursing students.

The University Hospitals of Leicester NHS Trust is one of the largest and busiest acute trusts in the country. The hospitals include the Glenfield Hospital, Leicester General Hospital and Leicester Royal Infirmary incorporating Leicester Childrens Hospital. They provide services to a diverse population of nearly one million people across Leicester and the English counties of Leicestershire and Rutland, as well as a further two to three million people in neighbouring counties. They have an annual budget of approximately 650 million and employ almost 12,000 staff. They have nationally and internationally renowned centres of excellence in cardiac, renal and cancer care, and are at the forefront of many research programmes and new surgical procedures. The Care Quality Commission recently announced that the cardiac unit at Glenfield Hospital is one of Britains three top specialist centres for successful heart bypass operations.

spital which also acts as a national referral hospital. It employs 622 staff, including 114 doctors and 249 nurses, who provide a wide range of services including emergency, intensive care, surgery and outpatient services. It has an annual admissions rate of about 16,500 patients and serves 2 million patients in the direct community and 12 million in total across the wider region.

Hpitaux Universitaires de Genve (HUG) is a public, university hospital with 2200 beds, serving Geneva and its surrounding population (approximately 800,000). It employs almost 8,500 staff of whom 1,500 are medical doctors and other academics. One of the priorities of the hospital in its 2006-2010 Strategic Plan is to maintain the spirit of Geneva, by emphasizing Genevas role within Switzerlands renowned commitment to humanitarian work. The hospital has pioneered work on infection control and hand hygiene and been at the forefront of the most significant changes in hand hygiene practices, the systematic use of alcohol-based handrubs as the new standard of care as part of a multimodal strategy to improve hand hygiene in health care.

Yaounde Central Hospital is a 381 bed tertiary level general teaching hospital. The hospital employs nearly 800 staff including 95 doctors and nearly 270 nurses. The hospital provides surgical care, obstetrics, gynaecology and elderly care services along with radiology, intensive care, emergency services and an outpatient clinic to the population of the city and more widely across the country. The hospital is also a research and surveillance centre.

Hpitaux Universitaires de Genve (HUG) is a public, university hospital with 2200 beds, serving Geneva and its surrounding population (approximately 800,000). It employs almost 8,500 staff of whom 1,500 are medical doctors and other academics. One of the priorities of the hospital in its 2006-2010 Strategic Plan is to maintain the spirit of Geneva, by emphasizing Genevas role within Switzerlands renowned commitment to humanitarian work. The hospital has pioneered work on infection control and hand hygiene and been at the forefront of the most significant changes in hand hygiene practices, the systematic use of alcohol-based handrubs as the new standard of care as part of a multimodal strategy to improve hand hygiene in health care.

Komfo Anokye Teaching Hospital (KATH) is located in the Ashanti Region in Ghana. Its location means that its 1 200 beds are accessible to many other regions in the country, as well as neighbouring countries Ivory Coast and Burkina Faso. KATH employs 3 428 staff including 363 doctors and 1 322 nurses, and as the only tertiary hospital in the region, the number of referrals it receives is growing.

St. Georges Hospital in London was founded in 1 733. It has approximately 8 000 staff and over 1 000 beds and is one of the largest teaching hospitals in the country. It treats over 500 000 outpatients annually, delivers over 5 000 babies, and carries out over 90 000 operations. As well as providing acute hospital services, it also provides a wide spectrum of specialist care and community services, recording over half a million community attendances per annum.

Beira Central Hospital is a large hospital on the coast of Mozambique, with a total staff of 1 568, of which 90 are doctors and 318 are nurses. It provides a wide range of healthcare services including intensive care, neurosurgery and dentistry. Its 1 028 beds (including extra beds) serve 8 496 613 people from the central region of Mozambique, of which 1 715 557 are from Sofala Province, with annual admissions totalling 27 064. The hospital has a large focus on training and hosts 350 medical and nursing students annually.

Ipswich Hospital NHS Trust provides hospital-based care to more than 356 000 people living in the surrounding area. The Trust employs nearly 3 200 whole time equivalent staff and contains 580 beds. The Trust has been found to provide some of the best skin cancer care in the UK, and is also one of the first hospitals in the UK to sign up to a movement to improve care for patients with dementia in hospital.

Butare University Teaching Hospital is an urban referral hospital in Southern Rwanda with four main missions: Services to the Community, Medical Education, Research and Supervision of district and countrywide hospitals. Its main activities include surgery, paediatrics, gynaecology and obstetrics, dentistry and ophthalmology. The hospital has a total of 500 beds and its staff, including 32 specialist doctors and 255 nurses, treat 7 000 inpatients and 49 200 outpatients annually from their 2 000 000 strong catchment area.

Imperial College Healthcare NHS Trust is one of the largest NHS Trusts in the UK. It comprises of 5 hospitals (Charing Cross, Hammersmith, Queen Charlottes and Chelsea, St. Marys and Western Eye Hospitals). The Trust employs around 10 000 people and treats over 1 million patients annually. It was the countrys first Academic Health Science Centre and works in partnership with Imperial College London, thus providing a strong focus on research and innovation which is subsequently translated into clinical practice.

Mbeya Referral Hospital serves the whole of the Southern Highlands Region of Tanzania, near the Malawi and Zambia borders. It is a tertiary hospital with 6.2 million people in its catchment area, annual admissions of 27 375 patients and 477 beds. Its 684 staff members including 92 doctors and 251 nurses carry out a wide range of medical services including psychiatry, intensive care and emergency care.

orth Cumbria University Hospitals Trust provides acute hospital services from 2 hospitals in Carlisle and Whitehaven. The Trust employs over 4 000 people and serves a population of 340 000 in the surrounding area. The Trust uses the Patient Safety First campaign to embed a culture of safety in their organisation.

Ndola Central Hospital, with a capacity of 851 beds and 97 baby cots, is the second largest health institution in Zambia. It is a referral centre for the northern part of the country. It serves a population of 503 649 in Ndola district. The hospital has 1 027 staff, of which 78 are doctors and 334 are nurses. The hospital hosts four training institutions namely Ndola Schools of General Nursing, Midwifery and Theatre Nursing, Ndola College of Biomedical Sciences, Community Health Assistants Training School, and the Copperbelt University School of Medicine. Research priorities for the hospital include the prevalence of surgical site infection rates and the irrational use of parenteral drugs in pneumonia treatment.

Guys and St Thomas Foundation Trusts care takes place in two of Londons best known teaching hospitals, Guys Hospital and St Thomas Hospital. These hospitals have a total of 12 500 staff and 1 100 beds. They are pioneers in health research, provide quality teaching and education and perform a third of annual child kidney transplants.

Read the original post:
Patient Safety in Action: Building strong and effective Partnerships - World Health Organization

Related Post

Comments are closed.