Table 3:
Main themes, themes and subthemes of small hospitals
| Main theme | Theme | Subtheme |
|---|---|---|
| Responsibilities of management | Facility management | Support service equipment management (11, 12) Safe water, electricity, medical gas and vacuum systems (11, 12) Fire and non-fire emergencies within the facilities (11, 12) |
| Information management system | Medical record (19, 54) Documented policies and procedures (11, 19) Retention time of records, data and information (19, 54) |
|
| Risk management | Risk identification (11, 19) Risk analysis (11, 19) Response planning (11, 19) Treat risk (11, 19) |
|
| Clinical governance | Clinical leadership (19, 54) Complaints management (19, 54) Evidence-based care (19, 54) Safe environment (19, 54) Clinical performance (19, 54) Clinical guidelines (19, 54) Quality roles and responsibilities (19, 54) |
|
| Care of patients | Intensive care (11, 19, 54) Surgery (11, 19, 54) Emergency (11, 19, 54) Anesthesia (11, 19, 54) Obstetrics (11, 19, 54) Pediatric (11, 19, 54) |
|
| Management of medication | Documentation of patient information | Medication reconciliation (11, 19) Adverse drug reactions (19, 54) Medicine allergies (11, 19, 54) |
| Continuity of medication management | Medication review (11, 19, 54) Information for patients (11, 19) |
|
| Patient safety | Patient identification | Associated policies, procedures and/or protocols (11, 12) Organization-wide patient identification system (11, 12) Patient identification matching system (11, 19, 54) |
| Transfer care | Clinical handover (11, 19, 54) Transfer and discharge processes (11, 19, 54) |
|
| Match patients and their care | Documented process to match patients (11, 54) Improve the effectiveness of the process for matching patient (11, 12) |
|
| Medication safety | Maintenance of organization-wide medication safety systems (11, 19) Medication management system assessment (11, 19) Reduce risks identified in the medication management system (19, 54) |
|
| Administration of anesthesia | Documented policy and procedure for the administration of anesthesia (11, 19, 54) Pre-anesthesia assessment (11, 12) Documented anesthesia plan (11, 19) Immediate preoperative re-evaluation (11, 12) |
|
| Infection control | Antimicrobial stewardship(ams) | Implement an ams policy (11, 19) Plan the ams program (19, 54) Access to current guidelines (11, 12) |
| Hand hygiene | Products used for hand hygiene (11, 19) Workforce knowledge of hand Hygiene (11, 12) |
|
| Aseptic technique (11, 19) Workforce immunization (11, 19, 54) |
||
| Continuous quality improvement | Structured quality improvement | Coordinating and implementing the quality Improvement programme (11, 19) Adequate resources required (11, 19) |
| Continuous monitoring programme (11, 19, 54) Key indicators (11, 19, 54) |
||
| Patient rights and education | Support individual beliefs | Respect for personal dignity and privacy (11, 19, 54) Protection from physical abuse or neglect (11, 19, 54) Obtaining informed consent (19, 54) |
| Information and education about patient healthcare needs | Plan of care (11, 12) Preventive aspects (11, 12) Possible complications (11, 12) |
|
| Blood and blood products | Blood products prescribing (11, 19) Blood product clinical use (11, 19) Transfusion practices (11, 19) |
|
| Partnering with consumers | Partnering with patients in their own care (11, 19, 54) |
|
| Patient health literacy Partnerships in healthcare governance planning, design, Measurement and evaluation (11, 19) |
Communication that supports effective partnerships (11, 12) |