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James Cook University Hospital and Kamuzu Central Hospital, Malawi

Tuesday, 28 July, 2015
James Cook University Hospital and Kamuzu Central Hospital, Malawi

James Cook Hospital in Middlesbrough has been linked with Kumuzu Hospital in Llingowe, Malawi since 2000. However, for the past five years, the link has focussed on infection prevention and control and teams of staff from James Cook’s infection prevention and control team have been undertaking work in line with the World Health Organisation’s African Partnerships for Patient Safety (APPS) programme which aims to improve patient safety in Africa. Staff have delivered talks at Kumuzu Hospital on the importance of infection prevention and control and provided demonstrations to show how good hand hygiene can be achieved. In a follow-up visit, as well as reinforcing APPS hand hygiene, the team has also introduced the WHO theatre checklist to improve patient safety in surgery.

As sepsis is the most common complication in surgery in Kumuzu, the team from James Cook worked with the hospital to adapt the theatre check list so that it would help to improve this and be most beneficial and appropriate to the hospital’s needs. Also, following a requirement set by the Malawi Ministry of Health and Council for Health Service Accreditation of Southern Africa for the production of outcome data relating to numbers of infection cases amongst patients and staff, the team have also worked with Kumuzu to devise a methodology to enable the hospital to routinely collect this information. A pilot scheme is to be put in place on maternity and surgical wards with a view to extending this throughout the hospital.

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