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Why clinical audit is important in midwifery: experiences from Kenya

Why clinical audit is important in midwifery: experiences from Kenya Background:Clinical are an assessment of working practice against an agreed standard, with the intention of identifying areas for improvement and recommending interventions to address them (Mancey-Jones and Brugha, 1997). However, audits are not widely used in low or middle income countries. LAMRN set out to strengthen the capacity of midwives in Kenya to carry out clinical auditsAim:To describe the development of an audit project in Kenyatta National Hospital and Pumwani Maternity Hospital.Methods:Midwives were asked to identify auditable areas from clinical practice, which were ranked in order of priority. The problem with the highest score following ranking was chosen for audit and discussed with the management and clinical teams in each hospital. An audit protocol was then designed and an audit completed. This article highlights how the audit was undertaken; results are due to follow.Findings:Midwives in both hospitals agreed to audit postpartum haemorrhage and developed an audit proposal. This outlined the audit objectives, critical standards for the management of postpartum haemorrhage, data collection methods, timelines, roles of each team member and expected outcomes.Conclusions:Using a systematic approach, midwives in Kenya were able to identify an auditable problem, set clear objectives and standards to conduct the audit and develop methods to carry out the audit successfully. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png African Journal of Midwifery and Women's Health Mark Allen Group

Why clinical audit is important in midwifery: experiences from Kenya

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Publisher
Mark Allen Group
Copyright
Copyright © 2017 MA Healthcare Limited
ISSN
1759-7374
eISSN
2052-4293
DOI
10.12968/ajmw.2017.11.2.62
Publisher site
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Abstract

Background:Clinical are an assessment of working practice against an agreed standard, with the intention of identifying areas for improvement and recommending interventions to address them (Mancey-Jones and Brugha, 1997). However, audits are not widely used in low or middle income countries. LAMRN set out to strengthen the capacity of midwives in Kenya to carry out clinical auditsAim:To describe the development of an audit project in Kenyatta National Hospital and Pumwani Maternity Hospital.Methods:Midwives were asked to identify auditable areas from clinical practice, which were ranked in order of priority. The problem with the highest score following ranking was chosen for audit and discussed with the management and clinical teams in each hospital. An audit protocol was then designed and an audit completed. This article highlights how the audit was undertaken; results are due to follow.Findings:Midwives in both hospitals agreed to audit postpartum haemorrhage and developed an audit proposal. This outlined the audit objectives, critical standards for the management of postpartum haemorrhage, data collection methods, timelines, roles of each team member and expected outcomes.Conclusions:Using a systematic approach, midwives in Kenya were able to identify an auditable problem, set clear objectives and standards to conduct the audit and develop methods to carry out the audit successfully.

Journal

African Journal of Midwifery and Women's Health – Mark Allen Group

Published: Apr 2, 2017

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