Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia
| Autor: | Semir Sultan Ahmed, Yasmin Aboul-Ela, Joost J. Zwart, Thomas van den Akker, Jelle Stekelenburg, Sicco A. Scherjon, Jos van Roosmalen, Sagni Girma Fage, Abera Kenay Tura |
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| Přispěvatelé: | Athena Institute, APH - Global Health, Public Health Research (PHR) |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Hospital setting
Health Toxicology and Mutagenesis lcsh:Medicine Audit Criterion-based audit Article Hospitals University 03 medical and health sciences Fluid intake 0302 clinical medicine Documentation SDG 3 - Good Health and Well-being Pregnancy Intervention (counseling) Medicine Humans 030212 general & internal medicine Vital sign monitoring 030219 obstetrics & reproductive medicine Clinical Audit business.industry lcsh:R Public Health Environmental and Occupational Health University hospital medicine.disease Postpartum hemorrhage Maternal Mortality Current practice Female Medical emergency Ethiopia business |
| Zdroj: | International Journal of Environmental Research and Public Health, 17(24):9281, 1-11. Multidisciplinary Digital Publishing Institute (MDPI) International Journal of Environmental Research and Public Health Volume 17 Issue 24 Tura, A K, Aboul-Ela, Y, Fage, S G, Ahmed, S S, Scherjon, S, van Roosmalen, J, Stekelenburg, J, Zwart, J & van den Akker, T 2020, ' Introduction of criterion-based audit of postpartum hemorrhage in a university hospital in eastern Ethiopia : Implementation and considerations ', International Journal of Environmental Research and Public Health, vol. 17, no. 24, 9281, pp. 1-11 . https://doi.org/10.3390/ijerph17249281 International Journal of Environmental Research and Public Health, 17(24):9281. MDPI AG International Journal of Environmental Research and Public Health, Vol 17, Iss 9281, p 9281 (2020) |
| ISSN: | 1660-4601 1661-7827 |
| DOI: | 10.3390/ijerph17249281 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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