West African journal of medicine
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Improving quality of health care delivery is a primary goal of all health care institutions. Health care systems face challenges in providing quality health care to the citizenry due to rising health care cost and clients demanding higher standards of care. ⋯ Overall quality of health care as measured by the indicators used were generally perceived to be high except with client waiting time for services, lack of directional signs in the hospital and an uncomfortable waiting area at the COPD. There were concerns about attitude of some staff and late starting times of outpatient clinics. These when addressed would further improve quality.
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Perioperative antibiotic administration for prophylaxis of surgical site infections can increase the anaesthetists workload. However, timely administration is essential to reduce risks and improve patient outcome. ⋯ Antibiotic selection though exclusively by the surgeon, higher responsibility is placed on the anaesthetist for preoperative administration, confirmation before incision and intraoperative re-dosing during prolonged surgery. Knowledge in selection and administration of antibiotics is inadequate and should be incorporated during the training.