Evaluation of criteria-based clinical audit in improving quality of obstetric care in a developing country hospital
African Journal of Reproductive Health
; 12(3): 59-70, 2008. ilus
Article
in English
| AIM
| ID: biblio-1258433
Responsible library:
CG1.1
ABSTRACT
Study evaluated criteriabased clinical audit in measuring and improving quality of obstetric care for five life-threatening obstetric complications obstetric haemorrhage, eclampsia, genital tract infections, obstructed labor and uterine rupture. Clinical management of 65 patients was audited using a 'before (Phase I) and after (Phase II)' audit cycle design using standard criteria. Following Phase I, areas in need of improvement were identified; mechanisms for improving quality of care were identified and implemented. Overall care of the complications improved significantly in obstetric haemorrhage (61 to 81%, p = 0.000), eclampsia (54.3 to 90%, p=0.00), obstructed labour (81.7 to 93.5%, p<0.001) and genital tract sepsis (66 to 85.2%, p < 0.01). Clinical monitoring, drug use, and urgent attention by senior medial staff also improved significantly after intervention. Criteria-based clinical audit is feasible and acceptable for improving management of life-threatening obstetric complications. Its application is recommended in health institutions in developing countries (Afr J Reprod Health 2008; 12[3]59-70)
Full text:
Available
Index:
AIM (Africa)
Main subject:
Quality of Health Care
/
Clinical Audit
/
Obstetric Labor Complications
/
Obstetrics
Type of study:
Prognostic study
Language:
English
Journal:
African Journal of Reproductive Health
Year:
2008
Type:
Article
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