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Table 9 Appropriateness of CMP cause identified 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? Cause identified? Cause plausible? Cause profound? Cause within reach? Cause identified and plausible and profound and within reach?
By type of CMP Yes p<0.0005 # Yes p=0.085 Yes p=0.013 Yes p=0.016 Yes p=0.009 Yes p=0.071
referral to hospital 37/42 88.1% 23/26* 88.5% 20/23 87.0% 9/20 45.0% 16/20 80.0% 8/37 21.6%
establishing the diagnosis 95/170 55.9% 84/94* 89.4% 83/84 98.8% 27/83 32.5% 73/83 88.0% 17/95 17.9%
treatment of complication 76/250 30.4% 61/72* 84.7% 58/61 95.1% 35/58 60.3% 47/58 81.0% 25/76 32.9%
interacting with the patient 58/98 59.2% 40/55* 72.7% 40/40 100.0% 14/40 35.0% 36/40 90.0% 10/58 17.2%
management of hospital 97/136 71.3% 73/94* 77.7% 73/73 100.0% 25/73 34.3% 72/73 98.6% 24/97 24.7%
other 13/18 72.2% 12/13 92.3% 12/12 100.0% 6/12 50.0% 12/12 100.0% 6/7 46.2%
Total 376/714 52.7% 293/354* 82.8% 286/293 97.6% 116/286 40.6% 256/286 89.5% 90/376 23.9%
By severity of CMP Yes p=0.31 # Yes p=0.009 Yes p=0.57 Yes p=0.055 Yes p=0.25 Yes p=0.001
minor 183/329 55.6% 131/172* 76.2% 129/131 98.5% 43/129 33.3% 115/129 89.2% 30/183 16.4%
intermediate 144/285 50.5% 119/135* 88.2% 115/119 96.6% 51/115 44.4% 102/115 88.7% 40/144 27.8%
major 44/91 48.4% 39/43* 90.7% 38/39 97.4% 20/38 52.6% 35/38 92.1% 18/44 40.9%
Total 371/705 & 52.6% 289/350* 82.6% 282/289 97.6% 114/282 40.4% 252/282 89.4% 88/371 23.7%
  1. #: p-values derived from chi2-test; all other p-values derived from Fisher’s exact test.
  2. * N smaller than expected due to missing data.
  3. & N smaller than expected due to disagreement among external assessors on severity of CMP.