The development of the Delivery Assessment Tool (DAT) to facilitate quality improvement in burns services in low-middle income countries.
Implementation science is a useful tool to consider ways in which we can introduce improvements to burn services in low-and-middle income countries (LMICs), where the majority of the burden of burn injury is now experienced. This paper outlines the development of the Delivery Assessment Tool (DAT),...
| Publicado en: | Burns (03054179) Vol. 48; no. 6; pp. 1488 - 1497 |
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| Autores principales: | , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Elsevier B.V.
Sep2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158889861&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158889861 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03054179 ILH jtl: Burns (03054179) issn: 03054179 maglogo: N pubinfo: dt: Sep2022 vid: 48 iid: 6 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 158889861 158889861 NLM34903404 10.1016/j.burns.2021.10.010 NLM34903404 158889861 ppf: 1488 ppct: 9 formats: tig: atl: The development of the Delivery Assessment Tool (DAT) to facilitate quality improvement in burns services in low-middle income countries. aug: au: Potokar, T. Bendell, R. Phuyal, K. Dhital, A. Karim, E. Falder, S. Kynge, L. Price, P.E. affil: Interburns, Cardiff, Wales, UK sug: subj: Burns Therapy Developing Countries Quality Improvement Health Care Delivery Poverty Scales Ferrans and Powers Quality of Life Index Ways of Coping Questionnaire ab: Implementation science is a useful tool to consider ways in which we can introduce improvements to burn services in low-and-middle income countries (LMICs), where the majority of the burden of burn injury is now experienced. This paper outlines the development of the Delivery Assessment Tool (DAT), a method for facilitating quality improvement in burn services in LMICs. We used a participatory approach that ensured that local clinicians and experts were fully involved in piloting the tool. The DAT is based on internationally agreed operational standards for burn care service delivery and has undergone an iterative process of improvement and refinement through an initial three-year project in Nepal and Bangladesh. The DAT, a 50-item tool organised into 10 subsections, is used to assess a service through a participatory focus group discussion with a mixed, multidisciplinary team of staff working at the burn service, typically 6-10 participants. This usually lasts 2-3 h. The staff in the unit then select priority areas for quality improvement programmes that are within their control to achieve, which starts a cycle of audit and review. The final version of the tool was used in a further three-year project to evaluate 11 hospitals in Nepal and Bangladesh. Education and training are key components of this work; both were provided by Interburns as part of on-going support for the clinical teams. At the end of the project a>19% improvement in scores was demonstrated using the final version of the DAT in both Nepal and Bangladesh; this achievement is remarkable given the continued difficulties in service provision where patient numbers far outstrip the resources available to care for them. As a result of this work, we have made a digital version of the tool available free of charge. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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