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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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