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Improvements in Obstetric and Newborn Health Information Documentation following the Implementation of the Safer Births Bundle of Care at 30 Facilities in Tanzania.
- Source :
- Healthcare (2227-9032); Feb2024, Vol. 12 Issue 3, p319, 18p
- Publication Year :
- 2024
-
Abstract
- This paper examines changes in the completeness of documentation in clinical practice before and during the implementation of the Safer Births Bundle of Care (SBBC) project. This observational study enrolled parturient women with a gestation age of at least 28 weeks at the onset of labour. Data collectors extracted information from facility registers and then a central data manager summarised and reported weekly statistics. Variables of clinical significance for CQI were selected, and the proportion of non-documentation was analysed over time. A Pearson chi-square test was used to test for significant differences in non-documentation between the periods. Between 1 March 2021 and 31 July 2022, a total of 138,442 deliveries were recorded. Overall, 75% of all patient cases had at least one missing variable among the selected variables across both periods. A lack of variable documentation occurred more frequently at the district hospital level (81% of patient cases) and health centres (74%) than at regional referral hospitals (56%) (p < 0.001). Non-documentation decreased significantly from 79% to 70% after the introduction of the SBBC (p < 0.001). A tendency towards negative correlations was noted for most variables. We noted an increased attention to data quality and use which may have a positive impact on the completeness of documentation. However, halfway through the project's implementation, the completeness of documentation was still low. Our findings support the recommendation to establish short-spaced feedback loops of locally collected data using one data platform. [ABSTRACT FROM AUTHOR]
- Subjects :
- MATERNAL health services
CHILDBIRTH
MEDICAL quality control
DATA quality
EVALUATION of human services programs
SCIENTIFIC observation
HEALTH facilities
PREGNANT women
GESTATIONAL age
MENTORING
POPULATION geography
DOCUMENTATION
HUMAN services programs
PERINATAL death
RANDOMIZED controlled trials
PRE-tests & post-tests
PEARSON correlation (Statistics)
COMPARATIVE studies
QUALITY assurance
DESCRIPTIVE statistics
CHI-squared test
RESEARCH funding
MATERNAL mortality
INFANT mortality
LABOR (Obstetrics)
STATISTICAL sampling
PATIENT safety
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 12
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 175371691
- Full Text :
- https://doi.org/10.3390/healthcare12030319