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Table 10 Appropriateness of CMP solution suggested by audit team, by type and severity of CMP

From: Can hospital audit teams identify case management problems, analyse their causes, identify and implement improvements? A cross-sectional process evaluation of obstetric near-miss case reviews in Benin

Type of CMP

CMP identified?

Solution identified?

Solution plausible?

Solution profound?

Solution within reach?

Solution identified and plausible and profound and within reach?

Follow-up: solution put in practice?

By type of CMP

Yes

p<0.0005 #

Yes

p=0.006

Yes

p=0.234

Yes

p=0.033

Yes

p=0.540

Yes

p=0.002

Yes

p=0.38

referral to hospital

37/42

88.1%

13/37

35.1%

13/13

100.0%

13/13

100.0%

13/13

100.0%

13/37

35.1%

3/8*

37.5%

establishing the diagnosis

95/170

55.9%

48/95

50.5%

45/48

93.75%

29/45

64.4%

44/45

97.8%

28/95

29.5%

7/24*

29.2%

treatment of complication

76/250

30.4%

39/76

51.3%

37/39

94.87%

27/37

73.0%

36/37

97.3%

26/76

34.2%

12/25*

48.0%

interacting with the patient

58/98

59.2%

28/58

48.3%

28/28

100.0%

20/28

71.4%

28/28

100.0%

20/58

34.5%

5/7*

71.4%

management of hospital

97/136

71.3%

63/97

65.0%

63/63

100.0%

45/63

71.4%

63/63

100.0%

45/97

46.4%

14/30*

46.7%

other

13/18

72.2%

11/13

84.6%

11/11

100.0%

11/11

100.0%

11/11

100.0%

11/13

84.6%

2/3*

66.7%

Total

376/714

52.7%

202/376

53.7%

197/202

97.5%

145/197

73.6%

195/197

99.0%

143/376

38.0%

43/97*

44.3%

By severity of CMP

Yes

p=0.31 #

Yes

p=0.086

Yes

p=1.0

Yes

p=0.31

Yes

p=0.14

Yes

p=0.078

Yes

p=0.21

minor

183/329*

55.6%

89/183

48.6%

87/89

97.8%

62/87

71.3%

87/87

100.0%

62/183

33.9%

21/39*

53.9%

intermediate

144/285*

50.5%

81/144

56.3%

79/81

97.5%

57/79

72.2%

78/79

98.7%

56/144

38.9%

16/46*

34.8%

major

44/91*

48.4%

29/44

65.9%

28/29

96.6%

24/28

85.7%

27/28

96.4%

23/44

52.3%

6/12

50%

Total

371/705

52.6%

199/371

53.6%

194/199

97.5%

143/194

73.7%

192/194

99.0%

141/371

38.0%

43/97*

44.3%

  1. # p-values derived from chi2-test; all other p-values derived from Fisher’s exact test.
  2. * N smaller than expected because due to missing data, or disagreement among external assessors on severity of CMP.
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BMC Pregnancy and Childbirth

ISSN: 1471-2393

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