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Table 1 A summary of major activities conducted as part of developing the Clinical Information Network (CIN) between September 2013 and April 2016

From: What do we think we are doing? How might a clinical information network be promoting implementation of recommended paediatric care practices in Kenyan hospitals?

Timing Activity
Sept 2013 Introductory meeting with paediatricians from potential CIN hospitals (1 day)
  Training of data clerks with hospital health record information officers (3 days)
  Data collection initiated in eight sites with introductory (1 day) training provided for clinical teams in their own hospital
Feb 2014 Training of data clerks with hospital health record information officers (3 days)
  Data collection initiated in six new sites with introductory (1 day) training provided in their own hospital for clinical teams
May 2014 First CIN meeting (2.5 days); from each hospital: paediatrician, nurse lead for paediatrics, health records information officer. Areas covered: understanding the CIN quality of care reports; basic introduction to team leadership
June 2014 Clinical coordinators visit all sites to provide half day meetings presenting hospital-specific feedback and discussion of these feedback reports
July 2014 Database familiarisation and analysis workshop for Health Records Information Officers from CIN hospitals (2 days)
Oct 2014 Second CIN meeting (1.5 days); paediatricians only. Areas covered: understanding the CIN quality of care reports; comparing performance across hospitals; priority setting for improvement in each hospital
  Explanation of evidence supporting proposed new pneumonia guidelines (1 day); five CIN paediatricians joined national guideline review panel for pneumonia
Nov 2014 Refresher training provided for CIN hospital data clerks (1 day)
Jan 2015 Database familiarisation and analysis workshop for Health Records Information Officers form CIN hospitals (2 days)
June 2015 Third CIN meeting (1.5 days); paediatricians only. Areas covered: understanding the CIN quality of care reports; comparing performance across hospitals; the principles of feedback and how to make it effective
  CIN paediatricians also each joined one or more national guideline panel reviewing evidence and making recommendations on common newborn care national guidelines (1–2 days)
Oct 2015 Fourth CIN meeting (2.5 days); paediatricians, nurse lead for paediatrics, health records information officers. Areas covered: CIN quality of care reports; comparative performance across hospitals; specific additional analysis on blood transfusion practices, monitoring of vital signs and treatment of shock Discussions on standards of care to improve monitoring of vital signs, checking for blood glucose in serious illness, checking HIV status on all admissions and improving recording of discharge diagnoses
Feb 2016 Pneumonia clinical guideline change training (1 day); delivered by one of CIN team members at each hospital to clinical and nursing teams