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Ghana, developing countries, clinical audit

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https://www.readbyqxmd.com/read/26492882/district-level-hospital-trauma-care-audit-filters-delphi-technique-for-defining-context-appropriate-indicators-for-quality-improvement-initiative-evaluation-in-developing-countries
#1
Barclay T Stewart, Adam Gyedu, Robert Quansah, Wilfred Larbi Addo, Akis Afoko, Pius Agbenorku, Forster Amponsah-Manu, James Ankomah, Ebenezer Appiah-Denkyira, Peter Baffoe, Sam Debrah, Peter Donkor, Theodor Dorvlo, Kennedy Japiong, Adam L Kushner, Martin Morna, Anthony Ofosu, Victor Oppong-Nketia, Stephen Tabiri, Charles Mock
INTRODUCTION: Prospective clinical audit of trauma care improves outcomes for the injured in high-income countries (HICs). However, equivalent, context-appropriate audit filters for use in low- and middle-income country (LMIC) district-level hospitals have not been well established. We aimed to develop context-appropriate trauma care audit filters for district-level hospitals in Ghana, was well as other LMICs more broadly. METHODS: Consensus on trauma care audit filters was built between twenty panellists using a Delphi technique with four anonymous, iterative surveys designed to elicit: (i) trauma care processes to be measured; (ii) important features of audit filters for the district-level hospital setting; and (iii) potentially useful filters...
January 2016: Injury
https://www.readbyqxmd.com/read/23830870/assessment-of-maternal-near-miss-and-quality-of-care-in-a-hospital-based-study-in-accra-ghana
#2
Özge Tunçalp, Michelle J Hindin, Kwame Adu-Bonsaffoh, Richard M Adanu
OBJECTIVE: To assess the baseline incidence of maternal near-miss, process indicators related to facility access, and quality of care at a tertiary care facility in urban Ghana. METHODS: A prospective observational study of all women delivering at the facility, including those with pregnancy-related complications, was conducted between October 2010 and March 2011. Quality of maternal health care was assessed via a newly developed WHO instrument based on near-miss criteria and criterion-based clinical audit methodology...
October 2013: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/23819699/improving-health-information-systems-for-decision-making-across-five-sub-saharan-african-countries-implementation-strategies-from-the-african-health-initiative
#3
Wilbroad Mutale, Namwinga Chintu, Cheryl Amoroso, Koku Awoonor-Williams, James Phillips, Colin Baynes, Cathy Michel, Angela Taylor, Kenneth Sherr
BACKGROUND: Weak health information systems (HIS) are a critical challenge to reaching the health-related Millennium Development Goals because health systems performance cannot be adequately assessed or monitored where HIS data are incomplete, inaccurate, or untimely. The Population Health Implementation and Training (PHIT) Partnerships were established in five sub-Saharan African countries (Ghana, Mozambique, Rwanda, Tanzania, and Zambia) to catalyze advances in strengthening district health systems...
2013: BMC Health Services Research
https://www.readbyqxmd.com/read/23158554/geographical-access-to-care-at-birth-in-ghana-a-barrier-to-safe-motherhood
#4
Peter W Gething, Fiifi Amoako Johnson, Faustina Frempong-Ainguah, Philomena Nyarko, Angela Baschieri, Patrick Aboagye, Jane Falkingham, Zoe Matthews, Peter M Atkinson
BACKGROUND: Appropriate facility-based care at birth is a key determinant of safe motherhood but geographical access remains poor in many high burden regions. Despite its importance, geographical access is rarely audited systematically, preventing integration in national-level maternal health system assessment and planning. In this study, we develop a uniquely detailed set of spatially-linked data and a calibrated geospatial model to undertake a national-scale audit of geographical access to maternity care at birth in Ghana, a high-burden country typical of many in sub-Saharan Africa...
2012: BMC Public Health
https://www.readbyqxmd.com/read/16092319/adult-tetanus-in-accra-why-the-high-mortality-an-audit-of-clinical-management-of-tetanus
#5
I F A Hesse, A Mensah, D K Asante, M Lartey, A Neequaye
BACKGROUND: Tetanus is a life threatening infection relatively uncommon in the developed countries but occurs frequently in developing countries with case fatality rates of 40-60 %. Recent review of adult tetanus at the Korle-bu Teaching Hospital showed a high case fatality of 50%. In order to determine the factors underlying this high case fatality we conducted a retrospective clinical audit of the clinical management of adult tetanus admitted in 1994 to 2001 to the Korle-bu Teaching Hospital...
April 2005: West African Journal of Medicine
https://www.readbyqxmd.com/read/11502289/holding-up-a-mirror-changing-obstetric-practice-through-criterion-based-clinical-audit-in-developing-countries
#6
P T Wagaarachchi, W J Graham, G C Penney, A McCaw-Binns, K Yeboah Antwi, M H Hall
The objective of the study described is to assess the feasibility and effectiveness of using a criterion-based clinical audit to measure and improve the quality of obstetric care at the district hospital level in developing countries. The focus is on the management of five life-threatening obstetric complications--hemorrhage, eclampsia, genital tract infection, obstructed labor and uterine rupture was audited using a "before and after" design. The five steps of the audit cycle were followed: establish criteria of good quality care; measure current practice (Review I); feedback findings and set targets; take action to change practice; and re-evaluate practice (Review II)...
August 2001: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/10859855/criteria-for-clinical-audit-of-the-quality-of-hospital-based-obstetric-care-in-developing-countries
#7
REVIEW
W Graham, P Wagaarachchi, G Penney, A McCaw-Binns, K Y Antwi, M H Hall
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...
2000: Bulletin of the World Health Organization
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