The importance of significant event analysis

Significant event analysis (SEA) is a structured quality improvement activity that is well established in general practice. Participation in SEA prompts primary care teams to reflect on their clinical reasoning, to highlight exemplary care, and to identify any potential improvements in both practice and wider healthcare systems. This article provides an overview of the SEA process and the events surrounding a SEA meeting. Cancer care examples are used to demonstrate how SEA can be used to enhance team-based learning and improve future patient care.

Improvement of "Premium Coffee" Production in SRIDONORETNO Association of Dampit District, Malang

Malang is regency that has a high potential of coffee production which is 7,703 tons every year. Of the several types of coffee producers, one of the well-known is Dampit District which since the Dutch era was known as a coffee producer and until now the Dampit District is still known as the first coffee producer. The coffee quality improvement activity has consistently been started by the SRIDONORETNO Association. Currently the SRIDONORETNO Association's coffee production results are directly absorbed by the community of coffee shops and lovers in Malang (± 80 shops in Malang) and several shops outside the city of Malang. Activities undertaken to support consistent quality and increase the production of premium coffee are simply educating the group to raise the number of members participating in the red picking program. Train group members to become quality controllers. Create a processing group by making mobile devices that can serve many groups.

Improving the accuracy of ACIR data and increasing vaccination rates

Immunisation at the earliest appropriate age and high levels of vaccine coverage at milestone ages are important in preventing the spread of vaccine-preventable diseases. At the Central Coast Public Health Unit, the authors sought to determine if follow-up of children said by the Australian Childhood Immunisation Register (ACIR) to be overdue for vaccination improved both of these factors. In a quality improvement activity, monthly ACIR lists of overdue Central Coast children aged 9 to 10 months of age were examined. The study alternated three months of intervention with three months of no intervention. The intervention was designed to find evidence of vaccination, first from the last known provider, and then if this was unsuccessful, from the parent. If no information was available, a letter was sent to the parents. If the child was indeed vaccinated, the register was updated. If the child was missing any vaccinations, the parent(s) were encouraged to complete the schedule. On reviewing routinely-published quarterly ACIR data at three-monthly intervals for 24 months after the intervention (or non-intervention), timeliness of vaccination improved in the intervention cohort. Central Coast fully vaccinated rates diverged from NSW rates during the study. In addition, the ACIR quarters that contained two out of three months of intervention rather than one out of three months of intervention had the highest rates of fully vaccinated children. The authors concluded that the intervention improved both timeliness of vaccination and the proportion of fully vaccinated children.