- Patient Safety and Medication Errors
- Global Health and Surgery
- Medical Malpractice and Liability Issues
- HIV Research and Treatment
- HIV, Drug Use, Sexual Risk
- Diversity and Career in Medicine
- Healthcare Quality and Management
- HIV/AIDS Research and Interventions
- Surgical Simulation and Training
- Organizational Learning and Leadership
Abstract Background Safe, high-quality surgical care in many African countries is a critical need. Challenges include availability of providers, improving quality care, and building workforce capacity. Despite growing evidence that mentoring effective healthcare settings, less known about its role surgery. We examined multimodal approach to mentorship as part safe surgery intervention (Safe Surgery 2020) improve quality. Our goal was distill lessons for policy makers, designers,...
Organizational learning is critical for delivering safe, high-quality surgical care, especially in low- and middle-income countries (LMICs) where perioperative outcomes remain poor. While current investments LMICs prioritize physical infrastructure, equipment, staffing, organizational are equally important to support innovation, creativity, continuous improvement of quality. This study aims assess the extent which health facilities Tanzania's Lake Zone perform as organizations from...
Recent efforts to increase access safe and high-quality surgical care in low- middle-income countries have proven successful. However, multiple facilities implementing the same safety quality improvement interventions may not all achieve successful outcomes. This heterogeneity could be explained, part, by pre-intervention organizational characteristics lack of readiness facilities. In this study, we describe process developing content validating Safe Surgery Organizational Readiness Tool.The...
The human immune deficiency virus (HIV) epidemic remains a public health threat and leading cause of morbidity mortality in Tanzania. Retaining patients to HIV care is thought be the biggest challenge facing programs. Since adoption multi-month scripting (MMS) strategy Tanzania, no study has evaluated its functionality impact on patients’ retention care. Therefore, we designed this assess MMS patient since 2018. This retrospective open cohort used secondary data from CTC 3 macro database for...
Background: Strengthening health systems through planned safety and quality improvement initiatives is an imperative to achieve more equitable, resilient, effective care. And yet, years of organizational behavior research demonstrate that change often fall short because managers fail account for readiness change. This finding remains true especially among surgical in low- middle-income countries. In this study, our aim was psychometrically assess the construct validity internal consistency...