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Clinical audit Of emergency obstetric careIn Cairo University Hospitals : An intervention study

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Public Health

Advisors

Kamel, Layla M. , Afifi, Naffousa A. , El-Nuaman, Azza A. , Edris, Umayma A.

Authors

Sedrak, Amal Samir

Accessioned

2017-07-12 06:40:31

Available

2017-07-12 06:40:31

type

M.D. Thesis

Abstract

Quality Emergency Obstetric Care (EOC) is critical for favorable outcome ofhospital care for both the mother and the newborn. The outcome of caredepends on the quality of the service provided (WHO, 2000).Criterion-based clinical audit is a well-known approach for improving thequality of maternity care (Kroposki et al., 2006).The present study aimed to improve the performance of Cairo UniversityHospitals’ EOC department. The study was an intervention study conducted inthe EOC department. It passed through three stages auditing of the currentsituation according to MOHP standards of the normal labor and infectioncontrol (IC), intervention stage in which discussion of the points needed to beimproved with the hospital manager and adopting training courses on ICstandards then re auditing to assess the changes happened after implementationof the intervention.The most important results revealed that there was significant improvement of the mean score of monitoringduring stay in the pre-labor room and compliance to hand hygienepractices after the intervention. Significant improvement of checking vital signs and checking vaginalbleeding following delivery after the intervention. Some points still need to be tackled e.g. providing clients withinformation about self care and warning symptoms after delivery anddealing with clients with more dignity and respect.The most important recommendations were adopting internal clinical audit in every hospital department to ensure performance improvement and ensuringthe continuity of a functioning clinical audit team to assurecontinuous quality improvement (CQI).

Issued

1 Jan 2012

DOI

http://dx.doi.org/10.21473/iknito-space/35553

Details

Type

Thesis

Created At

28 Jan 2023