by Patricia Alupo, Richard Ssekitoleko, Tracy Rabin et al.
International Journal for Quality in Health Care, Vol. 29, Issue 4, 1 August 2017, pp. 587–592
Poor adherence to prescribed inpatient medications was identified as a key shortcoming of clinical care on the internal medicine wards of Mulago National Referral Hospital, Kampala, Uganda. Deficiencies were also identified in attendant (lay caretaker) education, and prescriber and pharmacy metrics. A QI team led by a resident doctor and consisting of a QI nurse, a pharmacist and a ward nurse supervisor used standard QI techniques to address this issue. The authors conclude that QI methods may be the way forward for optimizing health care delivery in resource-limited settings like Uganda. Institutionalization of these methods remains a challenge due to shortage of staff and other resource limitations.