Thalas, Chiu and Issik-Kul Regions
Thalas, Chiu, Issik-Kul, Kyrgyzstan
Completed
NCT Number: NCT02001116
Improving the Quality of Paediatric Hospital Care in the Kyrgyz Republic
A cooperation agreement between the Ministry of Health (MOH) of Kyrgyz Republic and WHO-EURO was established, for the implementation of a WHO Project to improve the quality of pediatric care in the referral hospitals. The pilot regions selected for this intervention are the three northern regions of Thalas, Chiu and Issik-Kul Region in Kyrgyz Republic. The MOH project will be implemented at a first stage in a group of 10 pilot hospitals, randomly selected among the existing hospitals in the above cited regions. Pilot Hospitals will be compared to "control hospitals", which are the hospitals in the region not receiving the intervention, using a pre-defined set of indicators of quality of care. The results of the present evaluation on the pilot hospitals will provide data that will inform the MOH on how better to scale up this project at a national scale.
Completed
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Notify MeKey information
Conditions
Age range
2 month–59 month
Sex eligibility
All sexes
Study type
Interventional
Phase
Phase 2 / Phase 3
Primary location
Who can participate
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
- The study will evaluate Quality of Care delivered to children at hospital level. This will be assessed by a direct review of patients' charts, in comparison with pre-defined standard. At the hospital level children's charts will be randomly chosen among children 2 months to 59 months, hospitalized with common diseases, such as acute respiratory diseases, diarrhoea, and fever.
Exclusion criteria
- Children not included in the above criteria.
Treatment and study plan
Quality improvement intervention
Other- Training for local trainers and medical staff on the National Adaptation of the WHO guidelines "Pocket Book of Hospital Care for Children".
- Regular supporting supervision and monitoring at hospital level aimed at a sustainable improvement of the quality of the paediatric hospital care
Primary outcomes
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Quality of Care
Time frame: 12 months
Quality of Care will be measured using 10 pre-defined indicators
- Inappropriate hospitalisation (i.e. versus WHO standards)
- Increased risk of iatrogenic adverse effects (i.e unnecessary poly-therapy, compared to WHO standards)
- Unnecessary pain (i.e. unnecessary injections or other invasive procedures, as compared to WHO standards)
- Incorrect Diagnosis (i.e. versus WHO standards)
- Incorrect Treatment (i.e. versus WHO standards)
- Inconsistency between diagnosis and treatment (i.e. versus WHO standards)
- Inadequate Monitoring: (i.e. versus WHO standards)
- Lack of nutritional evaluation (i.e. versus WHO standards)
- Incorrect use of IV fluids (i.e. versus WHO standards)
-
Primary outcome
Time frame: 12 months
Children with concomitant presence of all the following three indicators of case management: 1) unnecessary hospitalization; 2) increased risk of iatrogenic adverse effects; 3) unnecessary painful procedures
Secondary outcomes
-
Outcomes of QoC
Time frame: 12 months
Summary scores according to the WHO Quality Asessment Tool
Sponsors and collaborators
Lead sponsor
WHO Collaborating Centre for Maternal and Child Health, Trieste
Other
Collaborators
- Post Graduate Institute of Medical Education and Research, Chandigarh
- Scientific Center of Children RAMS
- World Health Organization
Registry information
Official study title
Improving the Quality of Paediatric Hospital Care in the Kyrgyz Republic: Evaluation of the Impact of the Intervention
Important dates
- Study start
- 2013
- Primary completion
- 2014
- Study completion
- 2014
- First posted
- Dec 4, 2013
- Registry last updated
- Aug 25, 2015
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.