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Use of criterion-based clinical audit to improve the quality of obstetric care: A systematic review

Kongnyuy, Eugene J. and Uthman, Olalekan A. (2009) 'Use of criterion-based clinical audit to improve the quality of obstetric care: A systematic review'. Acta Obstetricia Et Gynecologica Scandinavica, Vol 88, Issue 8, pp. 873-881.

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Abstract

Although there is evidence that audit and feedback can improve health outcomes, little is known about the effect of audit on the quality of care from client's perspective. The aim of the current review was to explore the use of criterion-based audit to improve quality of obstetric care from both the midwives/doctors' and women/mothers' perspectives. Electronic searches of Cochrane Library, MEDLINE, and EMBASE were conducted. Randomized controlled trials (RCTs) and before-and-after studies that assessed the effect of criterion-based audit on health outcomes or women/mothers' perception of obstetric care were set as selection criteria. Data were extracted, analyzed using Revman 4.2 software, and results expressed as weighted mean differences for continuous data, and odds ratios for dichotomous data. Nineteen studies (one RCT and 18 before-and-after studies) involving 32,972 participants met our inclusion criteria. None of these studies assessed the effect of audit on quality from the women/mothers' perspective and none of the studies compared the effectiveness of different types of feedback. Ninety-five percentage (18/19) of studies showed significant improvement in at least one standard measured. Criterion-based audit has been used in obstetrics to improve quality from one dimension, namely the midwives/doctors' perspective. Midwives/doctors should consider the use of audit to improve quality of care from the mothers' view. There is need for well-designed RCTs to assess the effectiveness of different types of feedback in criterion-based audit.

Item Type: Article
Subjects: WA Public Health > WA 30 Socioeconomic factors in public health (General)
WQ Obstetrics > Pregnancy Complications > WQ 240 Pregnancy complications (General)
W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WQ Obstetrics > WQ 100 General works
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WQ Obstetrics > WQ 20 Research (General)
WQ Obstetrics > Obstetric Surgical Procedures > WQ 430 Cesarean section. Symphysiotomy and similar techniques
WB Practice of Medicine > Medical Climatology > WB 710 Diseases of geographic areas
WQ Obstetrics > Labor > WQ 300 General works
WA Public Health > Health Administration and Organization > WA 525 General works
WQ Obstetrics > Obstetric Surgical Procedures > WQ 400 General works
Faculty: Department: Groups (2002 - 2012) > Child & Reproductive Health Group
Digital Object Identifer (DOI): https://doi.org/10.1080/00016340903093542
Depositing User: Users 19 not found.
Date Deposited: 26 Apr 2010 15:45
Last Modified: 06 Feb 2018 12:59
URI: http://archive.lstmed.ac.uk/id/eprint/311

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