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A criteria-based audit of the management of severe pre-eclampsia in Kampala, Uganda.
Weeks, A D; Alia, G; Ononge, S; Otolorin, E O; Mirembe, F M.
Afiliación
  • Weeks AD; Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda. aweeks@liv.ac.uk
Int J Gynaecol Obstet ; 91(3): 292-7; discussion 283-4, 2005 Dec.
Article en En | MEDLINE | ID: mdl-16226758
OBJECTIVE: To improve the quality of clinical care for women with severe pre-eclampsia. METHODS: A criteria-based audit was conducted in a large government hospital in Uganda. Management practices were evaluated against standards developed by an expert panel by retrospectively evaluating 43 case files. Results of the audit were presented, and recommendations developed and implemented. A re-audit was conducted 6 months later. RESULTS: The initial audit showed that most standards were rarely achieved. Reasons were discussed. Guidelines were produced, additional supplies were purchased following a fundraising effort, labor ward procedures were streamlined, and staffing was increased. In the re-audit there were significant improvements in diagnosis, monitoring, and treatment. CONCLUSION: Criteria-based audit can improve the quality of maternity care in countries with limited resources.
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Preeclampsia / Servicio de Ginecología y Obstetricia en Hospital / Servicios de Salud Materna / Obstetricia Tipo de estudio: Guideline Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Int J Gynaecol Obstet Año: 2005 Tipo del documento: Article País de afiliación: Uganda
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Preeclampsia / Servicio de Ginecología y Obstetricia en Hospital / Servicios de Salud Materna / Obstetricia Tipo de estudio: Guideline Límite: Female / Humans / Pregnancy País/Región como asunto: Africa Idioma: En Revista: Int J Gynaecol Obstet Año: 2005 Tipo del documento: Article País de afiliación: Uganda