Review of the Quality Assurance Program of Colombo District, Sri Lanka: A Reflective Writing
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2021, Vol 1, Issue 07
Abstract
Quality Assurance (QA) in health care is to maintain a high quality health care services, through monitoring of its’ the effectiveness. The QA program of Divisional Hospitals, Primary Medical Care units and Medical Officer of Health (MOH) units are monitored at the RDHS level. Likewise, RDHS of Colombo district is responsible for all the above stated institutions in Colombo district. All the above institutions have started 5S concept upto a certain extent. Work performance, clinic services, disease surveillance, supply chain management, health information system, performance reviews of MOH Units are functioning very satisfactorily. Even though the Out patient services, emergency services, Inpatient services, Supply chain management, diagnostic services, waste management, utility services are functioning well, there are significant deficiencies in every aspect in curative care settings. I was satisfied about the achievements of preventive setting with regard to QA while I am not happy about the QA of curative care settings. QA of curative care institutions are not up to the expected standards. It is mainly due to poor leadership competencies and commitment of managers, mal - functioning of the Quality Management Unit of the RDHS office, inadequate supervision and performance reviews. Monitoring of curative care institutions by the directorate of Primary Care Services is also not satisfactory, while monitoring of preventive care institutions by National Programs is substantially high, which has resulted in high QA in preventive sector. It is recommended to strengthen the functions of the QMU of the RDHS unit; to introduce monthly institutional meetings; to perform quarterly review meetings at RDHS office, strengthening health information system, training of the staff, increase the number of supervisory visits by RDHS and performance appraisal and recognition of good work.
Authors and Affiliations
J. L. Himali R. Wijegunasekara
Keywords
Related Articles
- EP ID EP713299
- DOI 10.47191/ijmscrs/v1-i7-05
- Views 57
- Downloads 0
Efficacy of Mobile Learning to Train Cardiac Arrhythmia Interpretation in Critical Care Nurses
Aim: Interpretation of cardiac arrhythmias in detecting cardiac disorders and diseases is crucial. The immediate interpretation of cardiac arrhythmias is one of the most important clinical skills of medical and nursing s...
Effectiveness of 4 doses of COVID-19 vaccine in patients on maintenance hemodialysis in 5th wave of COVID-19 infection in Myanmar: Do we need 5 doses?
Background: Patients on maintenance hemodialysis (MHD) are at high risk of contracting SARS-CoV-2 and developing severe COVID-19 infection because they have low innate immunity as well as poor antibody response to COVID-...
Giant Splenomegaly Secondary to Chronic Myeloid Leukemia: Case Report
The abnormal growth of the spleen is called splenomegaly, this finding is a challenge when determining its etiology for the first contact physician due to the wide range of diagnostic possibilities. Infecti...
A Rare Case of aSecond-Degree Chemical Burn due to Successive Contacts of Acidic Wart Removal Solution and Paint Solution
ntroduction: Chemical burns are an uncommon form of burn injury, accounting for 2.1% to 6.5% of all burn centre admissions. We presented one rare case of a second degree chemical burn due to successive con...
Bioceramic perforation repair materials
In endodontic practice, procedural mishaps are encountered that might impact the prognosis of root canal treatment. One of these procedural mishaps is endodontic perforation. The success of perforation treatment is deter...