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Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations
With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the manage...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764538/ https://www.ncbi.nlm.nih.gov/pubmed/33322495 http://dx.doi.org/10.3390/ijerph17249281 |
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author | Tura, Abera Kenay Aboul-Ela, Yasmin Fage, Sagni Girma Ahmed, Semir Sultan Scherjon, Sicco van Roosmalen, Jos Stekelenburg, Jelle Zwart, Joost van den Akker, Thomas |
author_facet | Tura, Abera Kenay Aboul-Ela, Yasmin Fage, Sagni Girma Ahmed, Semir Sultan Scherjon, Sicco van Roosmalen, Jos Stekelenburg, Jelle Zwart, Joost van den Akker, Thomas |
author_sort | Tura, Abera Kenay |
collection | PubMed |
description | With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the management of PPH in Hiwot Fana Specialized University Hospital, eastern Ethiopia. Using standard criteria (n = 8) adapted to the local hospital setting, we audited 45 women with PPH admitted from August 2018 to March 2019. Four criteria were agreed as being low: IV line-setup (32 women, 71.1%), accurate postpartum vital sign monitoring (23 women, 51.1%), performing typing and cross-matching (22 women, 48.9%), and fluid intake/output chart maintenance (6 women, 13.3%). In only 3 out of 45 women (6.7%), all eight standard criteria were met. Deficiencies in the case of note documentation and clinical monitoring, non-availability of medical resources and blood for transfusion, as well as delays in clinical management were identified. The audit created awareness, resulting in self-reflection of current practice and promoted a sense of responsibility to improve care among hospital staff. Locally appropriate recommendations and an intervention plan based on available resources were formulated. |
format | Online Article Text |
id | pubmed-7764538 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-77645382020-12-27 Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations Tura, Abera Kenay Aboul-Ela, Yasmin Fage, Sagni Girma Ahmed, Semir Sultan Scherjon, Sicco van Roosmalen, Jos Stekelenburg, Jelle Zwart, Joost van den Akker, Thomas Int J Environ Res Public Health Article With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the management of PPH in Hiwot Fana Specialized University Hospital, eastern Ethiopia. Using standard criteria (n = 8) adapted to the local hospital setting, we audited 45 women with PPH admitted from August 2018 to March 2019. Four criteria were agreed as being low: IV line-setup (32 women, 71.1%), accurate postpartum vital sign monitoring (23 women, 51.1%), performing typing and cross-matching (22 women, 48.9%), and fluid intake/output chart maintenance (6 women, 13.3%). In only 3 out of 45 women (6.7%), all eight standard criteria were met. Deficiencies in the case of note documentation and clinical monitoring, non-availability of medical resources and blood for transfusion, as well as delays in clinical management were identified. The audit created awareness, resulting in self-reflection of current practice and promoted a sense of responsibility to improve care among hospital staff. Locally appropriate recommendations and an intervention plan based on available resources were formulated. MDPI 2020-12-11 2020-12 /pmc/articles/PMC7764538/ /pubmed/33322495 http://dx.doi.org/10.3390/ijerph17249281 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tura, Abera Kenay Aboul-Ela, Yasmin Fage, Sagni Girma Ahmed, Semir Sultan Scherjon, Sicco van Roosmalen, Jos Stekelenburg, Jelle Zwart, Joost van den Akker, Thomas Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations |
title | Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations |
title_full | Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations |
title_fullStr | Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations |
title_full_unstemmed | Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations |
title_short | Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations |
title_sort | introduction of criterion-based audit of postpartum hemorrhage in a university hospital in eastern ethiopia: implementation and considerations |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7764538/ https://www.ncbi.nlm.nih.gov/pubmed/33322495 http://dx.doi.org/10.3390/ijerph17249281 |
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