Lessons learned in establishing a quality improvement project to reduce hospital acquired infections in the neonatology ward at a referral hospital in Rwanda

Abstract

Purpose

Improving healthcare quality has become a worldwide effort. Strategic problem solving (SPS) is one approach to improve quality in healthcare settings. This case study aims to illustrate the process of applying the SPS approach in implementing a quality improvement project in a referral hospital.

Design/methodology/approach

A project team was formed to reduce the hospital-acquired infection (HAI) rate in the neonatology unit. A new injection policy was implemented according to the root cause identified.

Findings

The HAI rate decreased from 6.4 per cent pre-intervention to 4.2 per cent post-intervention. The compliance of performing the aseptic injection technique significantly improved by 60 per cent.

Practical implications

This case study illustrated the detailed application of the SPS approach in establishing a quality improvement project to address HAI and injection technique compliance, cost-effectively. Other departments or hospitals can apply the same approach to improve quality of care.

Originality/value

This study helps inform other hospitals in similar settings, the steps to create a quality improvement project using the SPS approach.

Citation

Gafirimbi, N., Wong, R., Adomako, E. and Kagwiza, J. (2016), "Lessons learned in establishing a quality improvement project to reduce hospital acquired infections in the neonatology ward at a referral hospital in Rwanda", On the Horizon, Vol. 24 No. 4, pp. 341-348. https://doi.org/10.1108/OTH-07-2016-0037