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Criterion-based clinical audit in obstetrics: bridging the quality gap?
1Immpact, School of Medicine and Dentistry, University of Aberdeen, Aberdeen, UK. w.graham@abdn.ac.uk
Best Practice & Research. Clinical Obstetrics & Gynaecology
|March 21, 2009
Summary
Improving maternal and infant health requires addressing care quality, not just access. Criterion-based clinical audit (CBCA) is a practical tool to enhance healthcare systems and reduce mortality in developing countries.
Area of Science:
- Public Health
- Healthcare Quality Improvement
- Maternal Health
Background:
- The global target of reducing maternal mortality by 75% (Millennium Development Goal 5) is unlikely to be met, particularly in low-income nations.
- Scaling up services for mothers and babies necessitates addressing both the quantity (access) and quality of care.
- Effective management of life-threatening complications, crucial for reducing maternal and perinatal mortality, relies on a functional health system with skilled providers.
Purpose of the Study:
- To summarize the practical application of criterion-based clinical audit (CBCA) as a monitoring mechanism.
- To highlight lessons learned from applying CBCA in developing countries.
- To emphasize the importance of quality assurance in maternal healthcare systems.
Main Methods:
- Summarizing practical steps for applying criterion-based clinical audit (CBCA).
- Reviewing recent experiences and lessons from CBCA implementation in developing countries.
- Focusing on monitoring mechanisms for healthcare quality.
Main Results:
- Criterion-based clinical audit (CBCA) is a practical mechanism for monitoring healthcare quality.
- Application of CBCA in developing countries provides valuable lessons for improving maternal and perinatal care.
- The effectiveness of CBCA is linked to the actions it stimulates within the health system.
Conclusions:
- Addressing the quality of care is essential for reducing maternal and perinatal mortality.
- Criterion-based clinical audit (CBCA) is a valuable tool for improving healthcare systems and practices.
- Successful implementation of CBCA depends on its ability to drive action and improvements among providers and within the health system.
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