Building Capacity in Perioperative Quality Improvement in Low‐ and Middle‐ Income Countries: Experiences From Mombasa, Lusaka and Hawassa
Rattachement africain : us, Éthiopie, Zambie, Kenya. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
BACKGROUND: Perioperative morbidity and mortality remain disproportionately high in low- and middle-income countries (LMICs). Quality improvement (QI) has shown effectiveness in improving health outcomes and patient safety across healthcare systems globally and is often a mandatory part of training in high income countries. However, QI education in LMICs remains decentralized and limited in scope. Aiming to address this gap, we designed and delivered perioperative QI education in three LMIC settings. This study aims to summarize methodology and experiences across the three settings and outline the factors leading to success and challenges experienced to inform future QI education efforts in LMICs. METHODS: We designed and implemented a perioperative QI curriculum that included online didactic content, course assessments, and a two to three day in-person course featuring both didactic and QI project development training. Descriptive statistics were reported for course features and participant pre- and post-course survey results. Qualitative course feedback from participants and administrators is summarized in a narrative format. RESULTS: Five courses were conducted, training a total of 90 participants. Of those who completed pre-course surveys, most participants were nurses (35.5%) or residents (43.6%), and the majority (71.1%) had no prior experience with QI. Self-assessed comfort significantly improved across several domains, including understanding QI concepts, developing aim statements, and designing projects. Qualitatively, participants enjoyed the course's interactive format and recommended future offerings be longer, more frequent, and include expanded content on data analysis and project implementation. Course administrators recommend involving local partners throughout course development, forming structured plans to sustain QI initiatives started as part of the course, and ensuring any pre-course materials use context-specific examples. CONCLUSION: Implementation of a perioperative QI curriculum across three LMIC settings was feasible and associated with significant improvements in participant-reported comfort with core QI skills and knowledge. Success was driven by the inclusion of local faculty, interactive project development, and adaptation of course content to local context. Future efforts should focus on building local QI mentorship capacity, integrating QI education into residency training, and developing contextually appropriate resources to support scalable, sustainable QI training in LMICs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Building Capacity in Perioperative Quality Improvement in Low‐ and Middle‐ Income Countries: Experiences From Mombasa, Lusaka and Hawassa
- Date Crossref
- 09/10/2025
- Éditeur
- Wiley
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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American College of Surgeons pays non établi dans la noticeInstitution
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University of Wisconsin Carbone Cancer Center Department of Surgery pays non établi dans la noticeOrganisme public
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Medical College of Wisconsin Department of Surgery pays non établi dans la noticeUniversité ou école supérieure
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Hawassa University Hawassa University, Éthiopie (code pays fourni par la source)Université ou école supérieure
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University Teaching Hospital Lusaka, Zambie (code pays fourni par la source)Établissement de santé
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University of Zambia Lusaka, Zambie (code pays fourni par la source)Université ou école supérieure
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University of Wisconsin–Madison pays non établi dans la noticeUniversité ou école supérieure
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University of Nairobi University of Nairobi, Kenya (code pays fourni par la source)Université ou école supérieure
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Massachusetts General Hospital Division of Trauma Emergency Surgery & pays non établi dans la noticeÉtablissement de santé
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Tenwek Hospital Kenya (code pays fourni par la source)Établissement de santé
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Division of Surgical Oncology Department of Surgery UW Carbone Cancer Center University of Wisconsin School of Medicine and Public Health Madison Wisconsin USA Department of Surgery Lusaka, Zambie (pays nommé en fin d’affiliation)Université ou école supérieure
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Department of Surgery University of Wisconsin Madison Wisconsin USA pays non établi dans la noticeUniversité ou école supérieure
American College of Surgeons, Department of Surgery — University of Wisconsin Carbone Cancer Center et Department of Surgery — Medical College of Wisconsin, avec 9 autres affiliations. Pays d’affiliation : Éthiopie, Zambie, Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.