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Audit of medical response to antenatal booking history
Author(s) -
GUTHRIE K. A.,
SONGANE F. F.,
MACKENZIE F.,
LILFORD R. J.
Publication year - 1989
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1989.tb03254.x
Subject(s) - audit , medical practice , medical audit , medical record , medicine , medical emergency , family medicine , surgery , business , accounting
Summary. A retrospective review of 600 obstetric case‐notes, covering the years 1978 to 1984, was performed independently by two assessors. The medical response to 22 risk factors, recorded at booking by the midwife, was assessed. The medical staff recognized 69% of the risk factors recorded at booking and responded appropriately to 82% of these. The standard of care improved over the period studied. The accuracy of our conclusions was greatly enhanced by carrying out each assessment in duplicate with arbitration by a third assessor when necessary, and it is proposed that all audits of medical practice should themselves be audited in this way.