Table 10

Appropriateness of CMP solution suggested by audit team, by type and severity of CMP
Type of CMP CMP identified? Solution identified? Solution plausible? Solution profound? Solution within reach? Solution identified and plausible and profound and within reach? Follow-up: solution put in practice?
By type of CMP Yes p<0.0005# Yes p=0.006 Yes p=0.234 Yes p=0.033 Yes p=0.540 Yes p=0.002 Yes p=0.38
referral to hospital 37/42 88.1% 13/37 35.1% 13/13 100.0% 13/13 100.0% 13/13 100.0% 13/37 35.1% 3/8* 37.5%
establishing the diagnosis 95/170 55.9% 48/95 50.5% 45/48 93.75% 29/45 64.4% 44/45 97.8% 28/95 29.5% 7/24* 29.2%
treatment of complication 76/250 30.4% 39/76 51.3% 37/39 94.87% 27/37 73.0% 36/37 97.3% 26/76 34.2% 12/25* 48.0%
interacting with the patient 58/98 59.2% 28/58 48.3% 28/28 100.0% 20/28 71.4% 28/28 100.0% 20/58 34.5% 5/7* 71.4%
management of hospital 97/136 71.3% 63/97 65.0% 63/63 100.0% 45/63 71.4% 63/63 100.0% 45/97 46.4% 14/30* 46.7%
other 13/18 72.2% 11/13 84.6% 11/11 100.0% 11/11 100.0% 11/11 100.0% 11/13 84.6% 2/3* 66.7%
Total 376/714 52.7% 202/376 53.7% 197/202 97.5% 145/197 73.6% 195/197 99.0% 143/376 38.0% 43/97* 44.3%
By severity of CMP Yes p=0.31# Yes p=0.086 Yes p=1.0 Yes p=0.31 Yes p=0.14 Yes p=0.078 Yes p=0.21
minor 183/329* 55.6% 89/183 48.6% 87/89 97.8% 62/87 71.3% 87/87 100.0% 62/183 33.9% 21/39* 53.9%
intermediate 144/285* 50.5% 81/144 56.3% 79/81 97.5% 57/79 72.2% 78/79 98.7% 56/144 38.9% 16/46* 34.8%
major 44/91* 48.4% 29/44 65.9% 28/29 96.6% 24/28 85.7% 27/28 96.4% 23/44 52.3% 6/12 50%
Total 371/705 52.6% 199/371 53.6% 194/199 97.5% 143/194 73.7% 192/194 99.0% 141/371 38.0% 43/97* 44.3%

# p-values derived from chi2-test; all other p-values derived from Fisher’s exact test.

* N smaller than expected because due to missing data, or disagreement among external assessors on severity of CMP.

Borchert et al.

Borchert et al. BMC Pregnancy and Childbirth 2012 12:109   doi:10.1186/1471-2393-12-109

Open Data