Death audits and reviews for reducing maternal, perinatal and child mortality

Willcox, Merlin; Nicholson, Brian D; Price, Jessica; Stuart, Beth; Roberts, Nia; Allott, Helen; Mubangizi, Vincent; Dumont, Alexandre; Harnden, Anthony

doi:10.1002/14651858.cd012982

Cited by 8 publications

(6 citation statements)

References 16 publications

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“…The successful completion of this first phase lays the foundation for the remaining steps. Introduction of the audit was found to be an effective educational tool and a mechanism for initiating first steps towards improving the quality of obstetric care [ 34 , 35 ]. We found that the current quality of PPH management did not meet the majority of the standard criteria.…”

Section: Resultsmentioning

confidence: 99%

Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations

Tura

Aboul-Ela

Fage

et al. 2020

IJERPH

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With postpartum hemorrhage (PPH) continuing to be the leading cause of maternal mortality in most low-resource settings, an audit of the quality of care in health facilities is essential. The purpose of this study was to identify areas of substandard care and establish recommendations for the management of PPH in Hiwot Fana Specialized University Hospital, eastern Ethiopia. Using standard criteria (n = 8) adapted to the local hospital setting, we audited 45 women with PPH admitted from August 2018 to March 2019. Four criteria were agreed as being low: IV line-setup (32 women, 71.1%), accurate postpartum vital sign monitoring (23 women, 51.1%), performing typing and cross-matching (22 women, 48.9%), and fluid intake/output chart maintenance (6 women, 13.3%). In only 3 out of 45 women (6.7%), all eight standard criteria were met. Deficiencies in the case of note documentation and clinical monitoring, non-availability of medical resources and blood for transfusion, as well as delays in clinical management were identified. The audit created awareness, resulting in self-reflection of current practice and promoted a sense of responsibility to improve care among hospital staff. Locally appropriate recommendations and an intervention plan based on available resources were formulated.

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Section: Resultsmentioning

confidence: 99%

Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations

Tura

Aboul-Ela

Fage

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…The DRC members in our study stressed the importance of regularity and sustainability of the meetings and the support by stakeholders. A systematic review was conducted in 2020 [ 31 ] to assess the impact and cost effectiveness of different types of death audits and reviews in reducing maternal, perinatal, and child mortality. Only two RCT studies met the inclusion criteria: ([ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 99%

“…Only two RCT studies met the inclusion criteria: ([ 32 , 33 ]. This review reported that the impact of adopted interventions by the DRC members was low and had little to no impact on stillbirth rates as well as the neonatal mortality rate after 24 hours of birth [ 31 ]. A possible reason was the lack of monitoring and evaluation of the DRC and resulting initiatives.…”

Section: Discussionmentioning

confidence: 99%

Walk the Talk: The Transforming Journey of Facility-Based Death Review Committee from Stillbirths to Neonates

Khader

Al-Sheyab

Shattnawi

et al. 2021

BioMed Research International

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Background. Facility-based death review committee (DRC) of neonatal deaths and stillbirths can encourage stakeholders to enhance the quality of care during the antenatal period and labour to improve birth outcomes. To understand the benefits and impact of the DRCs, this study was aimed at exploring the DRC members’ perception about the role and benefits of the newly developed facility-based DRCs in five pilot hospitals in Jordan, to assess women empowerment, decision-making process, power dynamics, culture and genderism as contributing factors for deaths, and impact of COVID-19 lockdown on births. Methods. A descriptive study of a qualitative design—using focus group discussions—was conducted after one year of establishing DRCs in 5 pilot large hospitals. The number of participants in each focus group ranged from 8 to10, and the total number of participants was 45 HCPs (nurses and doctors). Questions were consecutively asked in each focus group. The moderator asked the main questions from the guide and then used probing as needed. A second researcher observed the conversation and took field notes. Results. Overall, there was an agreement among the majority of DRC members across all hospitals that the DRC was successful in identifying the exact cause of neonatal deaths and stillbirths as well as associated modifiable factors. There was also a consensus that the DRC contributed to an improvement in health services provided for pregnant women and newborns as well as protecting human rights and enabling women to be more interdependent in taking decisions related to family planning. Moreover, the DRC agreed that a proportion of the neonatal deaths and stillbirths occurring in the hospitals could have been prevented if adequate antenatal care was provided and some traditional harmful practices were avoided. Conclusions. Facility-based neonatal death review audit is practical and can be used to identify exact causes of maternal and neonatal deaths and is a valuable tool for hospital quality indicators. It can also change the perception and practice of health care providers, which may be reflected in improving the quality of provided healthcare services.

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“…The interventions included in this EGM are: 1) Audit and feedback , defined as a summary of primary care provider or facility performance over a specified period of time, given in a written, electronic, or verbal format; such intervention s can occur at individual provider as well as at organizational, facility level 73 78 ; 2) Public release of performance data , defined as arrangements to inform the public about the performance of primary care providers or facilities in written or electronic formats; and, 3) Social accountability interventions , defined as an accountability arrangement in which community members and/or civil society organizations are involved in the monitoring of performance of primary care providers or facilities 48 .…”

Section: Intervention and Outcomes Of Interestmentioning

confidence: 99%

Evidence gap map of performance measurement and management in primary care delivery systems in low- and middle-income countries – Study protocol

et al. 2018

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Background . For the last two decades there has been growing interest in governmental and global health stakeholders about the role that performance measurement and management systems can play for the production of high-quality and safely delivered primary care services. Despite recognition and interest, the gaps in evidence in this field of research and practice in low- and middle-income countries remain poorly characterized. This study will develop an evidence gap map in the area of performance management in primary care delivery systems in low- and middle-income countries. Methods. The evidence gap map will follow the methodology developed by 3Ie, the International Initiative for Impact Evaluation, to systematically map evidence and research gaps. The process starts with the development of the scope by creating an evidence-informed framework that helps identify the interventions and outcomes of relevance as well as help define inclusion and exclusion criteria. A search strategy is then developed to guide the systematic search of the literature, covering the following databases: Medline (Ovid), Embase (Ovid), CAB Global Health (Ovid), CINAHL (Ebsco), Cochrane Library, Scopus (Elsevier), and Econlit (Ovid). Sources of grey literature are also searched. Studies that meet the inclusion criteria are systematically coded, extracting data on intervention, outcome, measures, context, geography, equity, and study design. Systematic reviews are also critically appraised using an existing standard checklist. Impact evaluations are not appraised but will be coded according to study design. The process of map-building ends with the creation of an evidence gap map graphic that displays the available evidence according to the intervention and outcome framework of interest. Discussion . Applications arising from the evidence map will be discussed in a separate paper that will summarize findings and make recommendations for the development of a prioritized research agenda.

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Death audits and reviews for reducing maternal, perinatal and child mortality

Abstract: Death audits and reviews for reducing maternal, perinatal and child mortality.

Cited by 8 publications

References 16 publications

Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations

Introduction of Criterion-Based Audit of Postpartum Hemorrhage in a University Hospital in Eastern Ethiopia: Implementation and Considerations

Walk the Talk: The Transforming Journey of Facility-Based Death Review Committee from Stillbirths to Neonates

Evidence gap map of performance measurement and management in primary care delivery systems in low- and middle-income countries – Study protocol

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