Exact(2)
Despite high use of the CDSS (84%% of consultations), observations and interviews revealed difficulty with data entry into the CDSS, and structural and practical barriers to its use.
Data were collected from three sources: observations of ANC/PMTCT consultations, observations of group education sessions for pregnant women, and observations of the facility's readiness to offer ANC/PMTCT services.
Similar(58)
General practices in Leeds, UK. 12 purposively sampled practices with a total of 119 staff; 63 consultation observations and 57 patient interviews.
No patients or clinicians refused the initial consultation observation.
This would be similar to the previously recommended selection of specific patients for consultation observation in the ECTV [ 33].
Workplace-based formative assessments using consultation observation are currently conducted during the Australian general practice training program.
The ARCADO assessment tool was adapted from an existing tool used by the RTP for consultation observation assessment in the ECTV.
The majority of the respondents suggested that Lean coach interventions (eg, consultation, observation and coaching) between the four half-day training sessions may be helpful to transfer the acquired skills and knowledge to their actual work practices.
Factors associated with a longer consultation observation time included: patient complexity, registrars being more thorough in response to observation, involvement of other members of the practice team, practices booking more consultations than advised and smaller practices unable to deflect clinical load to other clinicians.
SPA utilizes four types of data collection tools: facility inventory, health worker interview, observation of consultations, and exit interviews with clients.
Consultations for observation and participants for interview will be selected 'opportunistically' from each of the three care pathways ensuring that a wide range of patients (in relation to age, sex, symptom severity, and social class) are included ('maximum diversification sample').
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