Table 1 Indicators, their set targets and Action points following presentation of first audit results
Indicator | Currents status (At the initial audit) | Target (By the end of the second audit) | Action points during implementation | Contact Person and level of Achievement of target |
|---|---|---|---|---|
Delays | 23.3 % had reasons in patient notes for not delivering within the expected 2 h. 85.1 % of the reasons were theatre related | Increase the number of women accessing theatre within two hours from 32 to 64 %. | Scaling up the number of mothers having assisted vaginal delivery. Assigning mothers to midwives for closer observation. | Labour Suite in charge Not achieved |
IV fluids assessment prior to delivery | 41 % had IV access line 28 % received at least 1 L | 100 % for IV access and I litre of IV fluid administration | Better documentation of all IV fluids given. Have a checklist in all patients’ charts | Team on duty. Almost achieved |
IV Antibiotic assessment Receiving d IV antibiotics pre-operatively | 22 % of mothers. | All mothers to have pre-operative antibiotics | Doctors to prescribe in all patient files | Labour suite weekly rotation Team leader Partly achieved |