Development of a quality improvement package for reducing sight-threatening retinopathy of prematurity

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dc.contributor.authorKumar, Pen_US
dc.contributor.authorChawla, Den_US
dc.contributor.authorThukral, Aen_US
dc.contributor.authorDeorari, Aen_US
dc.contributor.authorShukla, Ren_US
dc.contributor.authorGilbert, Cen_US
dc.date.accessioned2020-04-10T02:07:50Z
dc.date.available2020-04-10T02:07:50Z
dc.date.issued2020-02
dc.description.abstractPurpose: With improving survival of preterm neonates, retinopathy of prematurity (ROP) is emerging as a major cause of childhood blindness. Incidence of sight-threatening ROP can be reduced by improving the quality of care provided to preterm neonates. Methods: This before-and-after study was designed to develop a need-based intervention package to improve knowledge, skills, and practices of those providing care for preterm neonates, and to evaluate the effectiveness of this package when combined with point-of-care quality improvement (POCQI) in improving survival of preterm neonates without sight-threatening ROP. The study had a formative component to assess baseline knowledge, skills, practices and attitudes, and to assess the needs of the healthcare staff to improve the care of preterm neonates. It was conducted in four special care neonatal units (SCNU) in the state of Madhya Pradesh in India. Results: A theory of change was developed to guide the development of study tools including needs assessment and educational package development. The educational package thus developed has been tested at the study sites in combination with POCQI projects driven by local teams of healthcare providers. The effectiveness of the interventions has been evaluated by collection of individual-level data on neonates admitted at the study sites. Conclusion: A multidimensional educational package integrated with system changes in the form of quality improvement (QI) endeavours driven by local context and needs were developed and evaluated in the project.en_US
dc.identifier.affiliationsNeonatal Unit, Department of Pediatrics, Postgraduate Institute of Medical Education & Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Neonatology, Government Medical College Hospital, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsIndian Institute of Public Health, Public Health Foundation of India, Hyderabad, Telangana, Indiaen_US
dc.identifier.affiliationsInternational Centre for Eye Health, Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UKen_US
dc.identifier.citationKumar P, Chawla D, Thukral A, Deorari A, Shukla R, Gilbert C. Development of a quality improvement package for reducing sight-threatening retinopathy of prematurity. Indian Journal of Ophthalmology. 2020 Feb; 68(13): 115-120en_US
dc.identifier.issn0301-4738
dc.identifier.issn1998-3689
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/197921
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber13en_US
dc.relation.volume68en_US
dc.source.urihttps://dx.doi.org/10.4103/ijo.IJO_2087_19en_US
dc.subjectQuality improvementen_US
dc.subjectretinopathy of prematurityen_US
dc.subjecttheory of changeen_US
dc.titleDevelopment of a quality improvement package for reducing sight-threatening retinopathy of prematurityen_US
dc.typeJournal Articleen_US
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