الفهرس | Only 14 pages are availabe for public view |
Abstract Quality Emergency Obstetric Care (EOC) is critical for favorable outcome of hospital care for both the mother and the newborn. The outcome of care depends on the quality of the service provided (WHO, 2000). There are many tools used to improve quality of care in the obstetric care department. These include criterion-based audit, training, plan-do-study-act (PDSA) cycles…..etc (WHO, 2004). Clinical audit is defined by ”A quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and implementation of change” (NICE, 2002). The present study aimed to improve the performance of Cairo University Hospitals’ Emergency Obstetric Care Department through identification of standards and criteria for auditing and assessing the current practice of the natal care at the EOC Department. The study was an intervention study conducted at the EOC department (department number 10) at Cairo University Hospitals. The study went in three stages; auditing of the present situation in relation to the MOHP standards, intervention stage and re-auditing stage. The first stage (auditing of the present situation) involved observation of the physical structure and the clinical process in the EOC Department using observation checklist. Also observation of the infection control practices using infection control observation checklist. One hundred clients in the post labor room were interviewed using client satisfaction questionnaire. Interventions addressed the identified deficiencies through agreeing upon standards and communicating to the providers. Then re-auditing was performed to detect changes happened following implementation of the interventions |