Use of a cesarean delivery checklist in an African maternity ward to improve management and reduce length of hospital stay
| Autor: | Lisa M. Nathan, Desire Patauli, Peter S. Bernstein, Mengyang Sun, Dena Goffman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty 03 medical and health sciences 0302 clinical medicine Blood loss Pregnancy Chart review medicine Humans 030212 general & internal medicine Cesarean delivery Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Cesarean Section Rwanda Obstetrics and Gynecology General Medicine Length of Stay Checklist Hospitals Improved performance Neonatal outcomes Emergency medicine Female business Utilization rate Hospital stay |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and ObstetricsREFERENCES. 152(2) |
| ISSN: | 1879-3479 |
| Popis: | OBJECTIVE To create, implement, and evaluate the effectiveness of a cesarean delivery checklist on maternal and neonatal outcomes in a rural African hospital. METHODS Based on input from local authorities, WHO's Safe Surgical Checklist was modified for cesarean delivery and adapted for use in low-resource settings. Retrospective chart review between April and August 2013 in Kibogora Hospital, Nyamasheke, Rwanda, included the first 100 women undergoing cesarean after checklist implementation and the last 100 women undergoing cesarean before implementation. Checklist utilization was determined and degree of completeness assessed. Outcomes were compared between patients for whom the checklist was utilized and patients for whom the checklist was not utilized, in both pre and post-implementation groups. RESULTS Checklist utilization rate was 83.0% (83/100). Checklist utilization was associated with significant increases in documentation of estimated blood loss (91.6% [76/83] vs 0.9% [1/117], P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text