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Table 7 Types of case-management problems, in detail

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

N=714

n

%

Case-management problems related to …

  

referral to hospital

42

5.8

   referral delayed

16

2.2

   referral pattern/destination wrong

3

0.4

   transport not “medicalised”

23

3.2

establishing the diagnosis/monitoring

170

23.9

   initial diagnosis delayed

22

3.1

   examination unsatisfactory

42

5.9

   history taking unsatisfactory

15

2.1

   diagnosis wrong

20

2.8

   diagnosis incomplete

7

1.0

   monitoring insufficient

64

9.0

treatment

250

35.0

   treatment delayed

77

10.8

   drug missing

39

5.5

   drug overdosed

4

0.6

   drug underdosed

21

2.9

   drug unnecessary

28

3.9

   drug wrong/not ideal

12

1.7

   procedure missing

21

2.9

   procedure carried out unsatisfactorily

25

3.5

   procedure wrong

11

1.5

   other

12

1.7

management of hospital

136

19.2

   lack of cleanliness

9

1.3

   staff not available

7

1.0

   documentation insufficient

55

7.7

   information flow unsatisfactory

12

1.7

   equipment, supplies insufficient

14

2.0

   financial arrangements unsatisfactory

19

2.7

   other

20

2.8

interacting with the patient or her family

98

13.7

   insufficient provision of information to the patient

47

6.6

   lack of friendliness and support for the patient

33

4.6

   not achieving compliance of the patient

18

2.5

other

18

2.6

   delay (unspecified)

4

0.6

   other

14

2.0