A smoother pathway to birth

2015 ◽  
Vol 1 (1) ◽  
Author(s):  
Desley Williams ◽  
Christine Jackson
Keyword(s):  
Pregnant Women ◽  
Continuity Of Care ◽  
Group Practice ◽  
Model Of Care ◽  
Remote Communities ◽  
Optimal Care ◽  
Consultation Process ◽  
Extensive Consultation ◽  
Care Models ◽  
Midwifery Group Practice

The Darwin Midwifery Group Practice (MGP) is a continuity model of care that has been developed in an attempt to overcome these well-recognised barriers to optimal care for pregnant women from remote communities. Before setting up the Darwin MGP, an extensive consultation process was undertaken, including assessments and discussion with providers of other continuity- of-care models.

Australian maternity reform through clinical redesign

2012 ◽  
Vol 36 (2) ◽  
pp. 169 ◽  
Author(s):  
Donna L. Hartz ◽  
Jan White ◽  
Kathleen A. Lainchbury ◽  
Helen Gunn ◽  
Helen Jarman ◽  
...  
Keyword(s):  
Randomised Trial ◽  
Maternity Hospital ◽  
Models Of Care ◽  
Group Practice ◽  
Model Of Care ◽  
Midwifery Care ◽  
Caseload Midwifery ◽  
Midwifery Group Practice ◽  
Practice Care

The current Australian national maternity reform agenda focuses on improving access to maternity care for women and their families while preserving safety and quality. The caseload midwifery model of care offers the level of access to continuity of care proposed in the reforms however the introduction of these models in Australia continues to meet with strong resistance. In many places access to caseload midwifery care is offered as a token, usually restricted to well women, within limited metropolitan and regional facilities and where available, places for women are very small as a proportion of the total service provided. This case study outlines a major clinical redesign of midwifery care at a metropolitan tertiary referral maternity hospital in Sydney. Caseload midwifery care was introduced under randomised trial conditions to provide midwifery care to 1500 women of all risk resulting in half of the publicly insured women receiving midwifery group practice care. The paper describes the organisational quality and safety tools that were utilised to facilitate the process while discussing the factors that facilitated the process and the barriers that were encountered within the workforce, operational and political context. What is known about the topic? Caseload midwifery models of care have been established in a variety of community based and hospital settings throughout Australia with a reported reduction in clinical intervention rates while maintainning safety of mothers and babies. What does this paper add? This case study illustrates the strategies used to achieve a large sustainable clinical service redesign project based on the introduction of the caseload midwifery model of care. What are the implications for practitioners? Establishing midwifery group practice care within the mainstream maternity services has far reaching implications for the retention and recruitment of midwives and the improvement of clinical outcomes in childbirth.

EFFECTIVENESS OF USING MCH BOOKS AND MONSCA APPLICATIONS IN THE IMPLEMENTATION OF 14 T ANTENATAL SERVICE STANDARDS

2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Continuity Of Care ◽  
Control Design ◽  
Sampling Technique ◽  
Limited Time ◽  
Control Groups ◽  
Post Test ◽  
Service Standards

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T

scholarly journals Lack of recognition and documentation of stress hyperglycemia is a disruptor of optimal continuity of care

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eric D. Moyer ◽  
Erik B. Lehman ◽  
Matthew D. Bolton ◽  
Jennifer Goldstein ◽  
Ariana R. Pichardo-Lowden
Keyword(s):  
Blood Glucose ◽  
Continuity Of Care ◽  
Clinical Documentation ◽  
Stress Hyperglycemia ◽  
Optimal Care ◽  
Continuity Clinic ◽  
Altered Glucose ◽  
Discharge Summaries

AbstractStress hyperglycemia (SH) is a manifestation of altered glucose metabolism in acutely ill patients which worsens outcomes and may represent a risk factor for diabetes. Continuity of care can assess this risk, which depends on quality of hospital clinical documentation. We aimed to determine the incidence of SH and documentation tendencies in hospital discharge summaries and continuity notes. We retrospectively examined diagnoses during a 12-months period. A 3-months representative sample of discharge summaries and continuity clinic notes underwent manual abstraction. Over 12-months, 495 admissions had ≥ 2 blood glucose measurements ≥ 10 mmol/L (180 mg/dL), which provided a SH incidence of 3.3%. Considering other glucose states suggestive of SH, records showing ≥ 4 blood glucose measurements ≥ 7.8 mmol/L (140 mg/dL) totaled 521 admissions. The entire 3-months subset of 124 records lacked the diagnosis SH documentation in discharge summaries. Only two (1.6%) records documented SH in the narrative of hospital summaries. Documentation or assessment of SH was absent in all ambulatory continuity notes. Lack of documentation of SH contributes to lack of follow-up after discharge, representing a disruptor of optimal care. Activities focused on improving quality of hospital documentation need to be integral to the education and competency of providers within accountable health systems.

Net zero carbon: Energy performance targets for offices

2021 ◽  
Vol 42 (3) ◽  
pp. 349-369
Author(s):  
Robert Cohen ◽  
Karl Desai ◽  
Jennifer Elias ◽  
Richard Twinn
Keyword(s):  
Energy Efficiency ◽  
Minimum Energy ◽  
Energy Performance ◽  
Consultation Process ◽  
Net Zero ◽  
Extensive Consultation ◽  
Operational Energy ◽  
Legislative Framework ◽  
Zero Carbon ◽  
The Uk

The UKGBC Net Zero Carbon Buildings Framework was published in April 2019 following an industry task group and extensive consultation process. The framework acts as guidance for achieving net zero carbon for operational energy and construction emissions, with a whole life carbon approach to be developed in the future. In consultation with industry, further detail and stricter requirements are being developed over time. In October 2019, proposals were set out for industry consultation on minimum energy efficiency targets for new and existing commercial office buildings seeking to achieve net zero carbon status for operational energy today, based on the performance levels that all buildings will be required to achieve by 2050. This was complemented by modelling work undertaken by the LETI network looking into net zero carbon requirements for new buildings. In January 2020 UKGBC published its guidance on the levels of energy performance that offices should target to achieve net zero and a trajectory for getting there by 2035. This paper describes the methodology behind and industry perspectives on UKGBC’s proposals which aim to predict the reduction in building energy intensity required if the UK’s economy is to be fully-powered by zero carbon energy in 2050. Practical application: Many developers and investors seeking to procure new commercial offices or undertake major refurbishments of existing offices are engaging with the ‘net zero carbon’ agenda, now intrinsic to the legislative framework for economic activity in the UK. A UKGBC initiative effectively filled a vacuum by defining a set of requirements including energy efficiency thresholds for commercial offices in the UK to be considered ‘net zero carbon’. This paper provides all stakeholders with a detailed justification for the level of these thresholds and what might be done to achieve them. A worked example details one possible solution for a new office.

Young women's Midwifery Group Practice: Does it work and for whom?

2013 ◽  
Vol 26 ◽  
pp. S22
Author(s):  
Jyai Allen ◽  
Helen Stapleton ◽  
Sue Kildea
Keyword(s):  
Group Practice ◽  
Midwifery Group Practice

scholarly journals Implementation of midwifery continuity of care models for Indigenous women in Australia: Perspectives and reflections for the United Kingdom

Midwifery ◽  
2019 ◽  
Vol 69 ◽  
pp. 110-112 ◽  
Author(s):  
C. Fernandez Turienzo ◽  
Y. Roe ◽  
H. Rayment-Jones ◽  
A. Kennedy ◽  
D. Forster ◽  
...  
Keyword(s):  
United Kingdom ◽  
Continuity Of Care ◽  
Indigenous Women ◽  
The United Kingdom ◽  
Care Models

scholarly journals EVALUASI PELAYANAN PROGRAM JAMPERSAL : TINJAUAN DIMENSI MUTU PELAYANAN JAMPERSAL

2018 ◽  
Vol 6 (2) ◽  
pp. 180-183
Author(s):  
Leli Mulyati
Keyword(s):  
Quality Of Care ◽  
Pregnant Women ◽  
Health Center ◽  
Continuity Of Care ◽  
Health Centers ◽  
Technical Competence ◽  
Purposive Sampling ◽  
Strongly Agree ◽  
Almost All

Knowing the factor fo pregnant women to choose jampersal service health center in the region of Curup Year 1012. The research is using descriptive design. The sampling using purposive sampling. With 67 people and count using univariant. From this study it can be seen from the technical competence almost half of respondents (48.2%) responded strongly agree, Access to almost all respondents (52.23%) responded agree. The effectiveness of almost all respondents (51.23%) responded agree. Continuity of care almost all respondents (51.73%) responded agree, security is almost all respondents (51.23%) responded agree. Human interpersonal almost all respondents (52.76%) responded agree, and the comfort of  pleasure almost all respondents (50.23%) responded agree. Based the conclusion, of the 67 respondents can be concluded the vast majority of respondents (52.23%) said quality of care at health centers is good and almost Curup majority of respondents (47.76%) stated quality of care at health centers Curup not good.

scholarly journals Updated good practice recommendations for outpatient parenteral antimicrobial therapy (OPAT) in adults and children in the UK

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Ann L N Chapman ◽  
Sanjay Patel ◽  
Carolyne Horner ◽  
Helen Green ◽  
Achyut Guleri ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Antimicrobial Therapy ◽  
Good Practice ◽  
Service Evaluation ◽  
Consultation Process ◽  
Outpatient Parenteral Antimicrobial Therapy ◽  
Practice Recommendations ◽  
Extensive Consultation ◽  
Adults And Children ◽  
The Uk

AbstractUK good practice recommendations for outpatient parenteral antimicrobial therapy (OPAT) were published in 2012 and 2015 for adult and paediatric patients, respectively. Here we update the initial good practice recommendations in a combined document based on a further review of the OPAT literature and an extensive consultation process. As with the previous good practice recommendations, these updated recommendations are intended to provide pragmatic guidance for new and established OPAT services across a range of settings and to act as a set of quality indicators for service evaluation and quality improvement.

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