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A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town

Asthma affects over 300 million people worldwide and is the sixth highest cause of morbidity and mortality in South Africa. Mitchell’s Plain is a large suburb in Cape Town, with a population of approximately 320 000 people. A previous study in 2006 indicated that 15.7% of patients that presented t...

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Main Author: Marimuthu, Sarojini
Other Authors: Isaacs, Abdul Aziz
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2015
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access_status_str Open Access
author Marimuthu, Sarojini
author2 Isaacs, Abdul Aziz
author_browse Isaacs, Abdul Aziz
Marimuthu, Sarojini
author_facet Isaacs, Abdul Aziz
Marimuthu, Sarojini
author_sort Marimuthu, Sarojini
collection Thesis
description Asthma affects over 300 million people worldwide and is the sixth highest cause of morbidity and mortality in South Africa. Mitchell’s Plain is a large suburb in Cape Town, with a population of approximately 320 000 people. A previous study in 2006 indicated that 15.7% of patients that presented to Mitchell’s Plain Community Health Care casualty were for an acute exacerbation of asthma and 7.8% of total deaths were from acute asthma. There was generally poor adherence to the national guidelines with respect to the management of an acute asthma exacerbation. Aim and Objectives: This study aimed to assess and improve the quality of management of acute bronchospasm at Mitchell’s Plain CHC. Objectives included assessing the current management, comparing it to the national guidelines and implementing strategies to improve care. Method: The study methodology was that of an audit cycle. Eligible patients were identified from the casualty admissions register. A total of 351 patients’ records were reviewed and compared to criteria based on the national guidelines. The initial findings were presented to the casualty staff that critically reflected; planned and implemented change. Intervention strategies involved raising awareness about the asthma guidelines, the audit tool and the South African Triage Score. A re-audit was performed after 6 months.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:44:00.438Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Department of Public Health and Family Medicine
publisherStr Department of Public Health and Family Medicine
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/13805 A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town Marimuthu, Sarojini Isaacs, Abdul Aziz Family Medicine Asthma affects over 300 million people worldwide and is the sixth highest cause of morbidity and mortality in South Africa. Mitchell’s Plain is a large suburb in Cape Town, with a population of approximately 320 000 people. A previous study in 2006 indicated that 15.7% of patients that presented to Mitchell’s Plain Community Health Care casualty were for an acute exacerbation of asthma and 7.8% of total deaths were from acute asthma. There was generally poor adherence to the national guidelines with respect to the management of an acute asthma exacerbation. Aim and Objectives: This study aimed to assess and improve the quality of management of acute bronchospasm at Mitchell’s Plain CHC. Objectives included assessing the current management, comparing it to the national guidelines and implementing strategies to improve care. Method: The study methodology was that of an audit cycle. Eligible patients were identified from the casualty admissions register. A total of 351 patients’ records were reviewed and compared to criteria based on the national guidelines. The initial findings were presented to the casualty staff that critically reflected; planned and implemented change. Intervention strategies involved raising awareness about the asthma guidelines, the audit tool and the South African Triage Score. A re-audit was performed after 6 months. 2015-08-27T12:36:06Z 2015-08-27T12:36:06Z 2015 Master Thesis Masters MMed http://hdl.handle.net/11427/13805 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Family Medicine
Marimuthu, Sarojini
A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town
thesis_degree_str Master's
title A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town
title_full A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town
title_fullStr A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town
title_full_unstemmed A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town
title_short A quality improvement cycle for acute bronchospasm in primary health care: Mitchell's Plain Community Health Centre, Cape Town
title_sort quality improvement cycle for acute bronchospasm in primary health care mitchell s plain community health centre cape town
topic Family Medicine
url http://hdl.handle.net/11427/13805
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AT marimuthusarojini qualityimprovementcycleforacutebronchospasminprimaryhealthcaremitchellsplaincommunityhealthcentrecapetown