Medical audit of neonatal deaths with the “three delay” model in a pediatric hospital in Ouagadougou

2011 ◽  
Vol 21 (4) ◽  
pp. 209-214
Author(s):  
Fla Kouéta ◽  
Solange Odile Ouédraogo Yugbaré ◽  
Lassina Dao ◽  
Fousséni Dao ◽  
Diarra Yé ◽  
...  
Author(s):  
Mohammad S. Alyahya ◽  
Yousef S. Khader ◽  
Nihaya A Al-Sheyab ◽  
Khulood K. Shattnawi ◽  
Omar F. Altal ◽  
...  

Objective This study employed the “three-delay” model to investigate the types of critical delays and modifiable factors that contribute to the neonatal deaths and stillbirths in Jordan. Study Design A triangulation research method was followed in this study to present the findings of death review committees (DRCs), which were formally established in five major hospitals across Jordan. The DRCs used a specific death summary form to facilitate identifying the type of delay, if any, and to plan specific actions to prevent future similar deaths. A death case review form with key details was also filled immediately after each death. Moreover, data were collected from patient notes and medical records, and further information about a specific cause of death or the contributing factors, if needed, were collected. Results During the study period (August 1, 2019–February 1, 2020), 10,726 births, 156 neonatal deaths, and 108 stillbirths were registered. A delay in recognizing the need for care and in the decision to seek care (delay 1) was believed to be responsible for 118 (44.6%) deaths. Most common factors included were poor awareness of when to seek care, not recognizing the problem or the danger signs, no or late antenatal care, and financial constraints and concern about the cost of care. Delay 2 (delay in seeking care or reaching care) was responsible for nine (3.4%) cases. Delay 3 (delay in receiving care) was responsible for 81 (30.7%) deaths. The most common modifiable factors were the poor or lack of training that followed by heavy workload, insufficient staff members, and no antenatal documentation. Effective actions were initiated across all the five hospitals in response to the delays to reduce preventable deaths. Conclusion The formation of the facility-based DRCs was vital in identifying critical delays and modifiable factors, as well as developing initiatives and actions to address modifiable factors. Key Points


2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Tariku Nigatu Bogale ◽  
Abebaw Gebeyehu Worku ◽  
Gashaw Andargie Bikis ◽  
Zemene Tigabu Kebede

2000 ◽  
Vol 79 (12) ◽  
pp. 1075-1082 ◽  
Author(s):  
LAURITZ BREDRUP DAHL ◽  
LILLIAN NORDBØ BERGE ◽  
HARALD DRAMSDAHL ◽  
ADRI VERMEER ◽  
AART HUURNINK ◽  
...  

2000 ◽  
Vol 79 (12) ◽  
pp. 1075-1082
Author(s):  
Lauritz Bredrup Dahl ◽  
Lillian Nordbø Berge ◽  
Harald Dramsdahl ◽  
Adri Vermeer ◽  
Aart Huurnink ◽  
...  

1983 ◽  
Vol 72 (3) ◽  
pp. 333-337 ◽  
Author(s):  
H. AUTIO-HARMAINEN ◽  
J. RAPOLA ◽  
K. HOPPU ◽  
K. ÖSTERLUND

2020 ◽  
Vol 35 (4) ◽  
pp. 284-293
Author(s):  
Zahra Mansour Alharam ◽  
Isaada Elsaeti ◽  
Mohamed Alferjani

This research aims to study mortality rates and identify the direct causes of neonatal deaths among newborns at Benghazi Pediatric Hospital. A descriptive case series study was conducted during 2015. Data included; birth weight, gender, residency, duration of hospital stay, age of neonates at death, and causes of death. Out of 1610 neonatal admissions reviewed, the total number of deaths was 122 during 2015. The data focused on death certificates of neonates and showed that the male gender was predominant (62.3 %). Most of them had a birth weight ranged between 2-2.9 Kg. Approximately 52 % of neonatal deaths in one day were of newborns <1 week old, and 54% were full-term  newborns. The most frequent direct single cause of death in neonates was prematurity, then neonatal sepsis and congenital heart disease respectively. The study concluded that the most frequent causes of infant mortality related deaths were prematurity then neonatal sepsis. Furthermore, future research is recommended, and the calculation of early and late neonatal mortality rate with the availability of total live births.


Author(s):  
Anping Xie ◽  
Pascale Carayon ◽  
M. Kelly Michelle ◽  
Yaqiong Li ◽  
Randi Cartmill ◽  
...  

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