Criteria for clinical audit of the quality of hospital-based obstetric care in developing countries

W Graham, P Wagaarachchi, G Penney, A McCaw-Binns, K Y Antwi, M H Hall

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Improving the quality of obstetric care is an urgent priority in developing countries, where maternal mortality remains high. The feasibility of criterion-based clinical audit of the assessment and management of five major obstetric complications is being studied in Ghana and Jamaica. In order to establish case definitions and clinical audit criteria, a systematic review of the literature was followed by three expert panel meetings. A modified nominal group technique was used to develop consensus among experts on a final set of case definitions and criteria. Five main obstetric complications were selected and definitions were agreed. The literature review led to the identification of 67 criteria, and the panel meetings resulted in the modification and approval of 37 of these for the next stage of audit. Criterion-based audit, which has been devised and tested primarily in industrialized countries, can be adapted and applied where resources are poorer. The selection of audit criteria for such settings requires local expert opinion to be considered in addition to research evidence, so as to ensure that the criteria are realistic in relation to conditions in the field. Practical methods for achieving this are described in the present paper.

Original languageEnglish
Pages (from-to)614-620
Number of pages7
JournalBulletin of the World Health Organization
Volume78
Publication statusPublished - 2000

Keywords

  • labour complications, classification
  • medical audit, standards
  • quality assurance, health care, standards
  • hospitals, district
  • evidence-based medicine
  • Ghana
  • Jamaica

Cite this

Criteria for clinical audit of the quality of hospital-based obstetric care in developing countries. / Graham, W ; Wagaarachchi, P ; Penney, G ; McCaw-Binns, A ; Antwi, K Y ; Hall, M H .

In: Bulletin of the World Health Organization, Vol. 78, 2000, p. 614-620.

Research output: Contribution to journalArticle

Graham, W ; Wagaarachchi, P ; Penney, G ; McCaw-Binns, A ; Antwi, K Y ; Hall, M H . / Criteria for clinical audit of the quality of hospital-based obstetric care in developing countries. In: Bulletin of the World Health Organization. 2000 ; Vol. 78. pp. 614-620.
@article{d09a800e63db482c9456c38016fe4bb0,
title = "Criteria for clinical audit of the quality of hospital-based obstetric care in developing countries",
abstract = "Improving the quality of obstetric care is an urgent priority in developing countries, where maternal mortality remains high. The feasibility of criterion-based clinical audit of the assessment and management of five major obstetric complications is being studied in Ghana and Jamaica. In order to establish case definitions and clinical audit criteria, a systematic review of the literature was followed by three expert panel meetings. A modified nominal group technique was used to develop consensus among experts on a final set of case definitions and criteria. Five main obstetric complications were selected and definitions were agreed. The literature review led to the identification of 67 criteria, and the panel meetings resulted in the modification and approval of 37 of these for the next stage of audit. Criterion-based audit, which has been devised and tested primarily in industrialized countries, can be adapted and applied where resources are poorer. The selection of audit criteria for such settings requires local expert opinion to be considered in addition to research evidence, so as to ensure that the criteria are realistic in relation to conditions in the field. Practical methods for achieving this are described in the present paper.",
keywords = "labour complications, classification, medical audit, standards, quality assurance, health care, standards, hospitals, district, evidence-based medicine, Ghana, Jamaica",
author = "W Graham and P Wagaarachchi and G Penney and A McCaw-Binns and Antwi, {K Y} and Hall, {M H}",
year = "2000",
language = "English",
volume = "78",
pages = "614--620",
journal = "Bulletin of the World Health Organization",
issn = "0042-9686",
publisher = "World Health Organization",

}

TY - JOUR

T1 - Criteria for clinical audit of the quality of hospital-based obstetric care in developing countries

AU - Graham, W

AU - Wagaarachchi, P

AU - Penney, G

AU - McCaw-Binns, A

AU - Antwi, K Y

AU - Hall, M H

PY - 2000

Y1 - 2000

N2 - Improving the quality of obstetric care is an urgent priority in developing countries, where maternal mortality remains high. The feasibility of criterion-based clinical audit of the assessment and management of five major obstetric complications is being studied in Ghana and Jamaica. In order to establish case definitions and clinical audit criteria, a systematic review of the literature was followed by three expert panel meetings. A modified nominal group technique was used to develop consensus among experts on a final set of case definitions and criteria. Five main obstetric complications were selected and definitions were agreed. The literature review led to the identification of 67 criteria, and the panel meetings resulted in the modification and approval of 37 of these for the next stage of audit. Criterion-based audit, which has been devised and tested primarily in industrialized countries, can be adapted and applied where resources are poorer. The selection of audit criteria for such settings requires local expert opinion to be considered in addition to research evidence, so as to ensure that the criteria are realistic in relation to conditions in the field. Practical methods for achieving this are described in the present paper.

AB - Improving the quality of obstetric care is an urgent priority in developing countries, where maternal mortality remains high. The feasibility of criterion-based clinical audit of the assessment and management of five major obstetric complications is being studied in Ghana and Jamaica. In order to establish case definitions and clinical audit criteria, a systematic review of the literature was followed by three expert panel meetings. A modified nominal group technique was used to develop consensus among experts on a final set of case definitions and criteria. Five main obstetric complications were selected and definitions were agreed. The literature review led to the identification of 67 criteria, and the panel meetings resulted in the modification and approval of 37 of these for the next stage of audit. Criterion-based audit, which has been devised and tested primarily in industrialized countries, can be adapted and applied where resources are poorer. The selection of audit criteria for such settings requires local expert opinion to be considered in addition to research evidence, so as to ensure that the criteria are realistic in relation to conditions in the field. Practical methods for achieving this are described in the present paper.

KW - labour complications, classification

KW - medical audit, standards

KW - quality assurance, health care, standards

KW - hospitals, district

KW - evidence-based medicine

KW - Ghana

KW - Jamaica

M3 - Article

VL - 78

SP - 614

EP - 620

JO - Bulletin of the World Health Organization

JF - Bulletin of the World Health Organization

SN - 0042-9686

ER -