Improving the quality of hospital care for children by supportive supervision: a cluster randomized trial, Kyrgyzstan.

ABSTRACT:

Objective

To determine whether periodic supportive supervision after a training course improved the quality of paediatric hospital care in Kyrgyzstan, where inappropriate care was common but in-hospital postnatal mortality was low.

Methods

In a cluster, randomized, parallel-group trial, 10 public hospitals were allocated to a 4-day World Health Organization (WHO) course on hospital care for children followed by periodic supportive supervision by paediatricians for 1 year, while 10 hospitals had no intervention. We assessed prospectively 10 key indicators of inappropriate paediatric case management, as indicated by WHO guidelines. The primary indicator was the combination of the three indicators: unnecessary hospitalization, increased iatrogenic risk and unnecessary painful p

SUBMITTER: Lazzerini M 

PROVIDER: S-EPMC5463809 | biostudies-literature | 2017 Jun

REPOSITORIES: biostudies-literature