A criteria-based audit of the management of severe pre-eclampsia in Kampala, Uganda

Objective: To improve the quality of clinical care for women with severe pre-eclampsia. Methods: A criteria-based audit was conducted in a large government hospital in Uganda. Management practices were evaluated against standards developed by an expert panel by retrospectively evaluating 43 case fil...

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Bibliographic Details
Published in:International journal of gynecology and obstetrics 2005-12, Vol.91 (3), p.292-297
Main Authors: Weeks, A.D., Alia, G., Ononge, S., Otolorin, E.O., Mirembe, F.M.
Format: Article
Language:English
Subjects:
Audit
Female
Humans
Hypertension
Maternal Health Services - standards
Medical Audit
Obstetrics - methods
Obstetrics - standards
Obstetrics and Gynecology Department, Hospital - standards
Pre-eclampsia
Pre-Eclampsia - therapy
Pregnancy
Prenatal Care
Quality
Quality Assurance, Health Care
Uganda
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Summary:Objective: To improve the quality of clinical care for women with severe pre-eclampsia. Methods: A criteria-based audit was conducted in a large government hospital in Uganda. Management practices were evaluated against standards developed by an expert panel by retrospectively evaluating 43 case files. Results of the audit were presented, and recommendations developed and implemented. A re-audit was conducted 6 months later. Results: The initial audit showed that most standards were rarely achieved. Reasons were discussed. Guidelines were produced, additional supplies were purchased following a fundraising effort, labor ward procedures were streamlined, and staffing was increased. In the re-audit there were significant improvements in diagnosis, monitoring, and treatment. Conclusion: Criteria-based audit can improve the quality of maternity care in countries with limited resources.
ISSN:0020-7292
1879-3479
DOI:10.1016/j.ijgo.2005.07.022