2004
DOI: 10.1093/heapol/czh007
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Obstetric audit in resource-poor settings: lessons from a multi-country project auditing 'near miss' obstetrical emergencies

Abstract: This paper outlines the practical steps involved in setting up and running multi-professional, in-depth case reviews of 'near miss' obstetrical complications. It draws on lessons learned in 12 referral hospitals in Benin, Côte d'Ivoire, Ghana and Morocco. A range of feasibility indicators are presented which measured the implementation and frequency of audit activities, the quality of participation, adherence to the planned protocol for the near-miss audits, the quality of audit discussions and the sustainabil… Show more

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Cited by 86 publications
(109 citation statements)
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“…10,11 In these two reports, there was a 50% drop in maternal mortality within a 3pyear intervention period, which is similar to the pattern noted in our study. There are also several studies of facilitypbased audits of perinatal deaths, 20 uterine rupp p ture, 21 nearpmisses [22][23][24] or criterionpbased audit. 25,26 However, controlled evaluation studies of audit interventions are rare and the absolute or relative effects of these approaches on professional practices and outcomes are generally only small to moderate.…”
Section: Special Theme -Estimating Mortalitymentioning
confidence: 99%
“…10,11 In these two reports, there was a 50% drop in maternal mortality within a 3pyear intervention period, which is similar to the pattern noted in our study. There are also several studies of facilitypbased audits of perinatal deaths, 20 uterine rupp p ture, 21 nearpmisses [22][23][24] or criterionpbased audit. 25,26 However, controlled evaluation studies of audit interventions are rare and the absolute or relative effects of these approaches on professional practices and outcomes are generally only small to moderate.…”
Section: Special Theme -Estimating Mortalitymentioning
confidence: 99%
“…[1][2][3] According to WHO, National near miss refers to a woman who nearly died but survived a complication that occurred during pregnancy, child birth or within 42 days of termination of pregnancy. 4 To implement the maternal near miss approach, WHO has done extensive research and provided essential operational definitions.…”
Section: Introductionmentioning
confidence: 99%
“…Moreover, studying what happened to them is made easier by their greater numbers and the possibility of being able to listen to them directly. [3][4][5] Although the concept of near-miss is already well-established, a consensual definition has yet to be adopted, including how the women comprising this group may be recognised. [6][7][8] Considering the potential of near-misses to contribute to the development of strategies for reducing maternal mortality, we decided to study different aspects of them using different approaches.…”
mentioning
confidence: 99%