Like all continuous quality-improvement systems, the integration of DHTs into treatment will be an iterative process that focuses on simultaneously maximizing outcomes and system harmony, which means that there will be many bumps in the road along the way.
Graduate medical education, for example, could routinise discussion of common cognitive errors and the role of systems, while practising physicians could be incentivised or required by certification organisations to demonstrate basic understanding of reasoning principles, diagnostic errors and continuous quality improvement of systems.
Third, the results of autopsies could become not just part of audit, but part of continuous clinical quality improvement systems in hospitals.
Evaluation methods are either non-existent or inappropriate, adding to the administrative burden of practitioners and constraining the ability for data-informed decision making and continuous quality improvement at both the system and service delivery levels.
SAFECARE is a continuous quality improvement tool to improve healthcare delivery in resource-restricted settings.
Specific improvement strategies included: (clinical) audit and feedback, (electronic) patient registries, case management, clinician education, (promotion of) self-management, patient reminder systems, and continuous quality improvement.
In general, improvement strategies include (clinical) audit and feedback, (electronic) patient registries, case management, clinician education, (promotion of) self-management, patient reminder systems, and continuous quality improvement (Shojania et al. 2006, Tricco et al. 2012, Munce et al., 2013) (Table 3, rec. 2).
They also include smaller-scale activities focused on (for example) the definition and management of clinical indicators; the conduct of clinical audits and practice accreditation; the development and promotion of clinical practice guidelines; and the institution of continuous quality improvement, risk management and incident management systems.
Quality improvement[ 3] is a general term that not only often applies to small locally developed systems [ 9- 14] but also to more standardised systems such as Continuous Quality Improvement[ 15, 16].
Using a Continuous Quality Improvement approach, routine antenatal, intrapartum and postnatal care systems and processes were revised to support implementation of evidence based postnatal practice.
A Continuous Quality Improvement (CQI) approach was adopted to support a systems and process change to in-patient care and care on transfer home in a large district general hospital with around 6000 births a year.
