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10.1136/bmjgh-2021-005300 http://scihub22266oqcxt.onion/10.1136/bmjgh-2021-005300 33758014!7993294!33758014     free     free     free Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 233.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 267.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       BMJ+Glob+Health 2021 ; 6 (3): ä Nephropedia Template TP {{tp|p=33758014|t=2021. Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya |pdf=|usr=}}{{33758014}} gab.com Text Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya JO: BMJ Glob Health http://www.kidney.de/pget.php?&tw=1&pmid=33758014 #FOAvip We have worked to develop a Clinical Information Network (CIN) in Kenya as an early form of learning health systems (LHS) focused on paediatric and neonatal care that now spans 22 hospitals. CIN's aim was to examine important outcomes of hospitalisation at scale, identify and ultimately solve practical problems of service delivery, drive improvements in quality and test interventions. By including multiple routine settings in research, we aimed to promote generalisability of findings and demonstrate potential efficiencies derived from LHS. We illustrate the nature and range of research CIN has supported over the past 7 years as a form of LHS. Clinically, this has largely focused on common, serious paediatric illnesses such as pneumonia, malaria and diarrhoea with dehydration with recent extensions to neonatal illnesses. CIN also enables examination of the quality of care, for example that provided to children with severe malnutrition and the challenges encountered in routine settings in adopting simple technologies (pulse oximetry) and more advanced diagnostics (eg, Xpert MTB/RIF). Although regular feedback to hospitals has been associated with some improvements in quality data continue to highlight system challenges that undermine provision of basic, quality care (eg, poor access to blood glucose testing and routine microbiology). These challenges include those associated with increased mortality risk (eg, delays in blood transfusion). Using the same data the CIN platform has enabled conduct of randomised trials and supports malaria vaccine and most recently COVID-19 surveillance. Employing LHS principles has meant engaging front-line workers, clinical managers and national stakeholders throughout. Our experience suggests LHS can be developed in low and middle-income countries that efficiently enable contextually appropriate research and contribute to strengthening of health services and research systems. Twit Text FOAVip Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya ????BMJ Glob Health http://www.kidney.de/pget.php?&tw=1&pmid=33758014 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=33758014 #FOAvip English Wikipedia <ref>{{Cite pmid|33758014}}</ref> Employing learning health system principles to advance research on severe neonatal and paediatric illness in Kenya #MMPMID33758014 English M; Irimu G; Akech S; Aluvaala J; Ogero M; Isaaka L; Malla L; Tuti T; Gathara D; Oliwa J; Agweyu A BMJ Glob Health 2021[Mar]; 6 (3): ä PMID33758014show ga We have worked to develop a Clinical Information Network (CIN) in Kenya as an early form of learning health systems (LHS) focused on paediatric and neonatal care that now spans 22 hospitals. CIN's aim was to examine important outcomes of hospitalisation at scale, identify and ultimately solve practical problems of service delivery, drive improvements in quality and test interventions. By including multiple routine settings in research, we aimed to promote generalisability of findings and demonstrate potential efficiencies derived from LHS. We illustrate the nature and range of research CIN has supported over the past 7 years as a form of LHS. Clinically, this has largely focused on common, serious paediatric illnesses such as pneumonia, malaria and diarrhoea with dehydration with recent extensions to neonatal illnesses. CIN also enables examination of the quality of care, for example that provided to children with severe malnutrition and the challenges encountered in routine settings in adopting simple technologies (pulse oximetry) and more advanced diagnostics (eg, Xpert MTB/RIF). Although regular feedback to hospitals has been associated with some improvements in quality data continue to highlight system challenges that undermine provision of basic, quality care (eg, poor access to blood glucose testing and routine microbiology). These challenges include those associated with increased mortality risk (eg, delays in blood transfusion). Using the same data the CIN platform has enabled conduct of randomised trials and supports malaria vaccine and most recently COVID-19 surveillance. Employing LHS principles has meant engaging front-line workers, clinical managers and national stakeholders throughout. Our experience suggests LHS can be developed in low and middle-income countries that efficiently enable contextually appropriate research and contribute to strengthening of health services and research systems. |*Health Services Research[MESH] |*Quality Improvement[MESH] |COVID-19/epidemiology/prevention & control[MESH] |Child[MESH] |Child Health Services/*standards[MESH] |Child, Preschool[MESH] |Delivery of Health Care/*standards[MESH] |Developing Countries[MESH] |Diarrhea/epidemiology/prevention & control[MESH] |Health Services Accessibility/*standards[MESH] |Humans[MESH] |Infant[MESH] |Infant, Newborn[MESH] |Kenya/epidemiology[MESH] |Malaria/epidemiology/prevention & control[MESH] |Pandemics[MESH] |Pneumonia/epidemiology/prevention & control[MESH]Employing learning health system principles to advance research on sev(epmc).pdf DeepDyve Pubget Overpricing