TALK 1

MODEL OF GOOD CARE

Step Process of care Criteria Action Standard
1 Assessing need for Primary 100%
referral Patients Health care
2 screened staff, public 100%
Filling up Open using MARK’s
3. Access form quadrant Medical 100%
4. officers in 100%
Getting appointment Those health centre
for endoscope patients has
score more Surgical clinic
Endoscope procedure than 10 staff

Open Access Surgical clinic
appt for high staff,
risk patients surgeons

Within 2
weeks of
calling
endoscope
suite

MODEL OF GOOD CARE

No Process Criteria Standard

1 Appointment to clinic Appointment given 10 days after 100%
menstruation. 90%
Attendance on appointment date

2 Preparation of patient Patient instructions by nurses 100%

regarding no coitus and douching 24

hours prior to procedure

3 Pap smear performed Ensure no discharge 100%
No trauma 90%
No lubricant 100%
Turn 360O around the cervix 100%

4 Fixation Dip into 95% Ethyl Alcohol 100%
-Within 1 min after taking smear 100%
-At least for 30 minutes 100%

5 Packing and Proper packing of slides as per 100%

transportation of slides protocol

Type of study

1. Non-experimental
1.1 Descriptive: Systematic collection and presentation of

data to give a clear picture of a particular
situation
 Quantitative
 Qualitative

1.2 Analytical: Aims at determining and testing the relationship
between several variables to suggest possible
causes of problem

 Retrospective
 Cohort

2. Experimental

Variables (data)

• A characteristic of a person, object or
phenomenon that is measurable and can
take on different values

i.e Variable Value

Height Tall, short

Sex Male, female

Knowledge Good, poor

Socioeconomic status High-income, middle-
income, low-income

Sampling

• Ideally should get intended information
from a certain population (all)

• Limitations due to logistics, cost, time etc

• Sampling:
Representative sample with all
important characteristics of the drawn
population

Data collection techniques

• Review of recorded sources
• Observation
• Interview
• Written questionnaires

Plan for data collection

• What to collect
• Where to get the data
• How to collect the data
• When will the data be collected
• How long will it takes
• Quality control of the data

Plan for data collection

Includes:
Data handling and storing
Data processing
Data analysis

QUALITY ASSURANCE CYCLE

Problem
identification

Re- Problem
evaluation Prioritization

of the
Problem

Implement QUALITY Problem
ation of ASSURANCE Analysis
Remedial
Actions CYCLE

Identification of Remedial Quality
Actions Assurance

Study

Remedial action

• Identification of probable and most
problematic factors (big ABNA)

• Discuss and formulate remedial
actions and implementation

Reevaluate and maintenance of quality

• Reevaluate the effectiveness of the
remedial actions

• To maintain the higher quality of care
• May improve on quality further

Report writing

• Compile and document the whole
process of study

• As a slide or written presentation