A RACOG sponsored pilot study of a quality assurance program regarding management of labour by provincial Fellows
Humphrey, Michael D., Maher, Claire F., and Panjari, Mary (2000) A RACOG sponsored pilot study of a quality assurance program regarding management of labour by provincial Fellows. Australian and New Zealand Journal of Obstetrics and Gynaecology, 40 (1). pp. 80-86.
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Objective: To develop an effective and practical self-administered obstetric audit program for use by clinicians within their own practice.
Setting: The private and public practices of specialists in provincial practice.
Sample: Two periods of 3 months in each Fellow's practice, separated by a period of 3 months to allow for data review, resulting in the review of management of 6708 singleton births.
Methods: All provincial Fellows in active practice in Australia in early 1998 were invited to take part in a voluntary 'quality cycle' obstetric practice audit. The data from the first 3 month period was fed back to participating Fellows for review before a second 3-month audit period was undertaken.
Results: One hundred and twenty provincial Fellows were invited to take part; 62 registered for the study, 58 commenced the project, and 52 completed the entire cycle.
60.1% of the 6708 women studied laboured spontaneously, 25.8% had labour induced, and 14.1% had elective Caesarean sections. 87.8% of the 5759 women who laboured gave birth vaginally. There was little change in the incidence of intervention in labour between the first and second study periods.
Conclusions: It is possible to design a worthwhile self-administered clinical audit in obstetric practice with which specialists in full-time practice can cope and which provides useful personalised feedback for the specialist.
|Item Type:||Article (Refereed Research - C1)|
|Date Deposited:||03 Jul 2012 06:32|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111709 Health Care Administration @ 100%|
|SEO Codes:||96 ENVIRONMENT > 9607 Environmental Policy, Legislation and Standards > 960799 Environmental Policy, Legislation and Standards not elsewhere classified @ 100%|