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
Artigo
em Inglês
| AIM
| ID: biblio-1258433
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)
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Qualidade da Assistência à Saúde
/
Auditoria Clínica
/
Complicações do Trabalho de Parto
/
Obstetrícia
Tipo de estudo:
Estudo prognóstico
Idioma:
Inglês
Revista:
African Journal of Reproductive Health
Ano de publicação:
2008
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS