Factors for change in maternal and perinatal audit systems in Dar es Salaam hospitals, Tanzania
Open Access
- 3 June 2010
- journal article
- research article
- Published by Springer Nature in BMC Pregnancy and Childbirth
- Vol. 10 (1) , 29
Abstract
Effective maternal and perinatal audits are associated with improved quality of care and reduction of severe adverse outcome. Although audits at the level of care were formally introduced in Tanzania around 25 years ago, little information is available about their existence, performance, and practical barriers to their implementation. This study assessed the structure, process and impacts of maternal and perinatal death audit systems in clinical practice and presents a detailed account on how they could be improved.Keywords
This publication has 21 references indexed in Scilit:
- Using audits to reduce the incidence of uterine rupture in a Malawian district hospitalInternational Journal of Gynecology & Obstetrics, 2009
- The difficulty of questioning clinical practice: experience of facility‐based case reviews in Ouagadougou, Burkina FasoBJOG: An International Journal of Obstetrics & Gynaecology, 2008
- The difficulties of conducting maternal death reviews in MalawiBMC Pregnancy and Childbirth, 2008
- Leading a change process to improve health service delivery2006
- Critical incident audit and feedback to improve perinatal and maternal mortality and morbidityCochrane Database of Systematic Reviews, 2005
- Disseminating Innovations in Health CareJAMA, 2003
- Reviewing audit: barriers and facilitating factors for effective clinical auditQuality and Safety in Health Care, 2000
- Too far to walk: Maternal mortality in contextSocial Science & Medicine, 1994
- Introduction1993
- Perinatal mortality audit in a Zimbabwean districtPaediatric and Perinatal Epidemiology, 1989