Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra

Introduction: As per WHO guidelines, it is important to have quality among mortality audit documents to improve outcome in health services. Objective: To assess quality of facility-based neonatal mortality audits implementation. Methodology: Mixed-method descriptive analysis was conducted. Totally,...

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Main Authors: Bhanupriya Shivshankar Pande, Aashutosh Ramkant Patel, Amit Jagannath Patil, Shraddha Patel, Mohammed Usman Shaikh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=9;spage=2032;epage=2035;aulast=Pande
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author Bhanupriya Shivshankar Pande
Aashutosh Ramkant Patel
Amit Jagannath Patil
Shraddha Patel
Mohammed Usman Shaikh
author_facet Bhanupriya Shivshankar Pande
Aashutosh Ramkant Patel
Amit Jagannath Patil
Shraddha Patel
Mohammed Usman Shaikh
author_sort Bhanupriya Shivshankar Pande
collection DOAJ
description Introduction: As per WHO guidelines, it is important to have quality among mortality audit documents to improve outcome in health services. Objective: To assess quality of facility-based neonatal mortality audits implementation. Methodology: Mixed-method descriptive analysis was conducted. Totally, 96 death review documents were reviewed. The 25 healthcare workers were interviewed in depth. Observation analysis done for audit meetings using WHO modified checklist for quality in audit toolkit. Results: The observation of audit meetings highlighted that almost half of the members were not communicated regarding vision of audit and framework of audit and review meetings. In quantitative analysis, it was found that secondary care hospitals were not having accuracy and consistency in audit documentation. Conclusion: The quality of neonatal death audit was poor due to challenges faced by the hospitals in creating an enabling atmosphere, which can be overcome by sharing the vision of audit with the whole staff of the hospital. A standard operating procedure for audit committee to be adopted to implement action plans. Commitment, investment, and intentional leadership from everyone, including all healthcare workers, can make these ambitious goals attainable.
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spelling doaj.art-1b8073cc233a4e4284e3f818c02a92142023-10-30T09:46:32ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632023-01-011292032203510.4103/jfmpc.jfmpc_178_23Quality in neonatal mortality audits: Results of pilot study from district of Dhule, MaharashtraBhanupriya Shivshankar PandeAashutosh Ramkant PatelAmit Jagannath PatilShraddha PatelMohammed Usman ShaikhIntroduction: As per WHO guidelines, it is important to have quality among mortality audit documents to improve outcome in health services. Objective: To assess quality of facility-based neonatal mortality audits implementation. Methodology: Mixed-method descriptive analysis was conducted. Totally, 96 death review documents were reviewed. The 25 healthcare workers were interviewed in depth. Observation analysis done for audit meetings using WHO modified checklist for quality in audit toolkit. Results: The observation of audit meetings highlighted that almost half of the members were not communicated regarding vision of audit and framework of audit and review meetings. In quantitative analysis, it was found that secondary care hospitals were not having accuracy and consistency in audit documentation. Conclusion: The quality of neonatal death audit was poor due to challenges faced by the hospitals in creating an enabling atmosphere, which can be overcome by sharing the vision of audit with the whole staff of the hospital. A standard operating procedure for audit committee to be adopted to implement action plans. Commitment, investment, and intentional leadership from everyone, including all healthcare workers, can make these ambitious goals attainable.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=9;spage=2032;epage=2035;aulast=Pandeaction plansauditmixed-method studyqualitystandard operating procedure
spellingShingle Bhanupriya Shivshankar Pande
Aashutosh Ramkant Patel
Amit Jagannath Patil
Shraddha Patel
Mohammed Usman Shaikh
Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra
Journal of Family Medicine and Primary Care
action plans
audit
mixed-method study
quality
standard operating procedure
title Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra
title_full Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra
title_fullStr Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra
title_full_unstemmed Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra
title_short Quality in neonatal mortality audits: Results of pilot study from district of Dhule, Maharashtra
title_sort quality in neonatal mortality audits results of pilot study from district of dhule maharashtra
topic action plans
audit
mixed-method study
quality
standard operating procedure
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=9;spage=2032;epage=2035;aulast=Pande
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