Designing a clinical audit tool to measure processes of pregnancy care

Suzanne V Sinni1, Wendy M Cross2, Euan M Wallace1,31Department of Obstetrics and Gynaecology, Monash University and Southern Health, Monash Medical Centre, Clayton, Victoria, 2School of Nursing and Midwifery, Monash University, Clayton, Victoria, 3The Ritchie Centre, Monash Institute of Medical Rese...

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Autores principales:	Wallace EM, Cross WM, Sinni SV
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Nursing RT1-120
Acceso en línea:	https://doaj.org/article/45b6f91033704f7f8e547772dd673b26
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spelling	oai:doaj.org-article:45b6f91033704f7f8e547772dd673b262021-12-02T06:53:02ZDesigning a clinical audit tool to measure processes of pregnancy care2230-522Xhttps://doaj.org/article/45b6f91033704f7f8e547772dd673b262011-12-01T00:00:00Zhttp://www.dovepress.com/designing-a-clinical-audit-tool-to-measure-processes-of-pregnancy-care-a8780https://doaj.org/toc/2230-522XSuzanne V Sinni1, Wendy M Cross2, Euan M Wallace1,31Department of Obstetrics and Gynaecology, Monash University and Southern Health, Monash Medical Centre, Clayton, Victoria, 2School of Nursing and Midwifery, Monash University, Clayton, Victoria, 3The Ritchie Centre, Monash Institute of Medical Research, Monash University, Clayton, Victoria, AustraliaAbstract: This paper reports the development of a clinical audit tool as part of a larger project to evaluate a new maternity service, underpinned by a patient safety framework.Aim: The aim of this work is to describe the development of a clinical audit tool that measures the process of pregnancy care, and its application.Background: There are many reports about outcomes of healthcare provision, however there are limited studies examining the process of care. There is also limited evidence linking clinical audit with improvements in care delivery. Pregnancy care was chosen because there are well defined and agreed clinical standards against which to measure the delivery of pregnancy care. A clinical audit using these standards addresses both gaps in the literature.Methods: Standard methodological processes were used to develop the audit tool. Literature informed the processes. Data were collected in 2009&ndash;2010 using the tool described in the paper. Reliability testing was completed in September 2011.Results: An audit tool to measure pregnancy care was developed and applied to 354 health records to enable analysis of adherence to organizational expectations of care. Reliability testing of the tool achieved an overall kappa of 0.896.Conclusion: Developing an audit tool based on processes described in the literature is labor intensive and resource dependent, however it results in a robust, reliable, valid tool that can be used in diverse maternity services. Stakeholder participation from the outset ensures ongoing engagement for the duration of a clinically based project spanning several years.Keywords: clinical audit, mixed methods, maternity, patient safetyWallace EMCross WMSinni SVDove Medical PressarticleNursingRT1-120ENNursing: Research and Reviews, Vol 2011, Iss default, Pp 15-25 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Nursing RT1-120
spellingShingle	Nursing RT1-120 Wallace EM Cross WM Sinni SV Designing a clinical audit tool to measure processes of pregnancy care
description	Suzanne V Sinni1, Wendy M Cross2, Euan M Wallace1,31Department of Obstetrics and Gynaecology, Monash University and Southern Health, Monash Medical Centre, Clayton, Victoria, 2School of Nursing and Midwifery, Monash University, Clayton, Victoria, 3The Ritchie Centre, Monash Institute of Medical Research, Monash University, Clayton, Victoria, AustraliaAbstract: This paper reports the development of a clinical audit tool as part of a larger project to evaluate a new maternity service, underpinned by a patient safety framework.Aim: The aim of this work is to describe the development of a clinical audit tool that measures the process of pregnancy care, and its application.Background: There are many reports about outcomes of healthcare provision, however there are limited studies examining the process of care. There is also limited evidence linking clinical audit with improvements in care delivery. Pregnancy care was chosen because there are well defined and agreed clinical standards against which to measure the delivery of pregnancy care. A clinical audit using these standards addresses both gaps in the literature.Methods: Standard methodological processes were used to develop the audit tool. Literature informed the processes. Data were collected in 2009&ndash;2010 using the tool described in the paper. Reliability testing was completed in September 2011.Results: An audit tool to measure pregnancy care was developed and applied to 354 health records to enable analysis of adherence to organizational expectations of care. Reliability testing of the tool achieved an overall kappa of 0.896.Conclusion: Developing an audit tool based on processes described in the literature is labor intensive and resource dependent, however it results in a robust, reliable, valid tool that can be used in diverse maternity services. Stakeholder participation from the outset ensures ongoing engagement for the duration of a clinically based project spanning several years.Keywords: clinical audit, mixed methods, maternity, patient safety
format	article
author	Wallace EM Cross WM Sinni SV
author_facet	Wallace EM Cross WM Sinni SV
author_sort	Wallace EM
title	Designing a clinical audit tool to measure processes of pregnancy care
title_short	Designing a clinical audit tool to measure processes of pregnancy care
title_full	Designing a clinical audit tool to measure processes of pregnancy care
title_fullStr	Designing a clinical audit tool to measure processes of pregnancy care
title_full_unstemmed	Designing a clinical audit tool to measure processes of pregnancy care
title_sort	designing a clinical audit tool to measure processes of pregnancy care
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/45b6f91033704f7f8e547772dd673b26
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Designing a clinical audit tool to measure processes of pregnancy care

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