Evaluation of Criteria-Based Clinical Audit in Improving Quality of Obstetric Care in a Developing Country Hospital

Study evaluated criteria-based 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...

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Bibliographic Details
Published in:African journal of reproductive health 2009-09, Vol.12 (3)
Main Authors: Hunyinbo, KI, Fawole, AO, Sotiloye, OS, Otolorin, EO
Format: Article
Language:English
Subjects:
Quality of Care, Criteria-based Audit, Obstetric Care, Obstetric Complications
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Summary:Study evaluated criteria-based 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
ISSN:1118-4841