Using the WHO individual near miss case review (NMCR) cycle to improve quality of emergency obstetric care and maternal outcome in Keren hospital, Eritrea: an interrupted time series analysis

Table 2 Changes in the level and trend of primary outcome measures following the introduction of NMCR cycle

Outcome measure	Effect	S.E.	p-value	95% CI
Severe maternal outcome (SMO)
Pre-implementation level	14.16	0.71	< 0.001	12.74 to 15.58
Pre-implementation trend	−0.05	0.05	0.337	−0.14 to 0.05
Change in level after implementation	−4.75	1.10	< 0.001	−6.95 to −2.54
Change in trend after implementation	−0.28	0.07	< 0.001	−0.42 to − 0.14
Post-implementation trend	−0.36	0.05	< 0.001	−0.60 to − 0.12
Delayed care
Pre-implementation level	60.65	0.46	< 0.001	59.72 to 61.57
Pre-implementation trend	−0.06	0.03	0.041	−0.13 to − 0.01
Change in level after implementation	−6.91	1.15	< 0.001	−9.28 to −4.68
Change in trend after implementation	0.02	0.07	0.805	−0.11 to 0.15
Post-implementation trend	0.05	0.06	0.516	−0.18 to 0.21
Substandard care
Pre-implementation level	29.77	0.38	< 0.001	29.01 to 30.52
Pre-implementation trend	0.01	0.02	0.642	−0.03 to 0.05
Change in level after implementation	−3.50	0.62	< 0.001	−4.74 to −2.26
Change in trend after implementation	−0.21	0.04	< 0.001	−0.28 to − 0.14
Post-implementation trend	−0.20	0.09	< 0.001	−0.23 to − 0.17

ISSN: 1471-2393