Duncan Smith-Rohrberg Maru

Duncan Smith-Rohrberg Maru replied to "Surgical Implementation Protocol from BMJ Open" in the Global Surgery & Anesthesia community.

Thank you all for your comments. I do think we need to fully revamp our core process and outcomes measures. over the course of the month, we aim to get those revised and back for public scrutiny. Also, in discussing the project with Gita Mody (PGY5 resident at BWH), she ...

Duncan Smith-Rohrberg Maru started a discussion "Surgical Implementation Protocol from BMJ Open". in the Global Surgery & Anesthesia community.

We would love some discussion and feedback about a surgical implementation science protocol we just published on BMJ Open: http://bmjopen.bmj.com/content/early/2011/08/03/bmjopen-2011-000166.full.pdf?sid=73efd916-e3bf-425e-a7b7-a276c00b005a This research will evaluate our implementation of surgical services at our rural district hospital in remote western Nepal. As you all are acutely aware, surgical care is a severely neglected ...

Duncan Smith-Rohrberg Maru replied to "Creating an intranet for PIH-Rwanda" in the Health IT community.

It sounds as if your team requires two big functionalities: 1) better email communication; 2) file-sharing. Both of these should be very easy-to-use and accessible over low BW. They should be accessible offline given unstable internet connections. Regarding the ability of staff to use them, admittedly no software exists that ...

Duncan Smith-Rohrberg Maru replied to "Mortality Review Programs in Resource-Poor Areas" in the [ARCHIVED] Adherence & Retention community.

Hi Moses, Thank you for your comments. The program is part of a general vision of creating a more responsive health system. The idea is that by reflecting on deaths-- in some ways the ultimate arbiter of epidemiological and clinical truth-- we can improve how we operate as a team. ...

Duncan Smith-Rohrberg Maru started a discussion "Mortality Review Programs in Resource-Poor Areas". in the [ARCHIVED] Adherence & Retention community.

Our organization, Nyaya Health, has recently started a mortality review program in which we review all deaths that occur at our hospital in rural Nepal and identifying systems-level changes to prevent future deaths. See our recent blog post on the subject: http://blog.nyayahealth.org/2009/10/29/mortalityreview/ By assessing the root causes of deaths, we ...