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Table 2 Phases of the quality improvement project—summary

From: Improving nursing documentation for surgical patients in a referral hospital in Freetown, Sierra Leone: protocol for assessing feasibility of a pilot multifaceted quality improvement hybrid type project

Phase name

Phase main components



1. Set up of QINDT

2. Equipment donation

3. Review of hospital currentnursing documentation policiesand forms

January–December 2020


1. Awareness drive for all hospital HCS

2. Training package for surgical nurses

3. Audit and feedback process for nursingdocumentation

Each is delivered using the PDSA cyclemethodology

January 2021–February 2021

March 2021–April 2021

May–June 2021

Evaluation of the entire project

Baseline data collection

Endline data collection

Sustainability assessment



6 months post-intervention

  1. *There will be one PDSA cycle for each of the three interventional components. However, each PDSA cycle will be repeated if further improvement needs to be made