1. The 'Severe Hypertensive Illness in Pregnancy' (SHIP) audit: promoting quality care using a high risk monitoring chart and eclampsia treatment pack.
- Author
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Baldwin KJ, Leighton NA, Kilby MD, Wyldes M, Churchill D, Jones PW, and Johanson RB
- Subjects
- Adult, Cohort Studies, Eclampsia pathology, England, Female, Hospital Units standards, Humans, Medical Records standards, Pregnancy, Prospective Studies, Severity of Illness Index, Eclampsia prevention & control, Guideline Adherence standards, Medical Audit, Outcome and Process Assessment, Health Care, Practice Guidelines as Topic, Prenatal Care standards
- Abstract
We set out to measure the standards of care in a regional cohort of women with severe hypertensive illness of pregnancy and to subsequently improve the quality of care using a series of interventions. This was a multi centre cyclical criterion audit involving 21 maternity units in the West Midlands Region. Prospective data collection involved named co-ordinators in each unit using customised proformas. Intervention comprised feedback of baseline results to each hospital, a monitoring chart and eclampsia treatment pack. The first audit period (n = 183) was for a 4-month period between 1/9/96 and 31/12/96 and the second audit period (n = 111) was during the same 4-month period 1 year later. Although compliance with the audit standards set increased in all but one standard, there is clearly a need to make further improvements in the quality of care administered.
- Published
- 2002
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