Table 8

Type, timing and severity of valid case management problems
N=714 Identified by audit team Not identified by audit team, but by external assessors Total
n row % n row % n column %
Type of case management problem Case-management problems related to Chi2-test: p<0.0005
 referral to hospital 37 88.1 5 11.9 42 5.9
 establishing the diagnosis/monitoring 95 55.9 75 44.1 170 23.8
 treatment 76 30.4 174 69.6 250 35.0
 interacting with the patient or her family 58 59.2 40 40.8 98 13.7
 management of hospital 97 71.3 39 28.7 136 19.1
Other type of case management problem 13 72.2 5 27.8 18 2.5
Total 376 52.7 338 47.3 714 100.0
Timing of case management problem Case-management problem occurred Chi2-test: p<0.0005
 before admission 66 67.4 32 32.6 98 13.7
 at admission 24 63.2 14 36.8 38 5.3
 while establishing diagnosis 51 55.4 41 44.6 92 12.9
 while providing emergency treatment 57 33.7 112 66.3 169 23.7
… while providing further treatment 47 42.0 65 58.0 112 15.7
 at discharge 44 60.3 29 39.7 73 10.2
 undetermined time 74 67.9 35 32.1 109 15.3
 after admission, before NM* 13 56.5 10 43.5 23 3.2
Total 376 52.7 338 47.3 714 100.0
Severity of the case management problem N=705#; Chi2-test: p=0.3
minor: not directly relevan& 183 55.6 146 44.4 329 46.7
intermediate: some relevance& 144 50.5 141 49.5 285 40.4
major: immediate danger& 44 48.4 47 51.7 91 12.9
Total 371 52.6 334 47.4 705 100.0

*: concerns patients whose near-miss started after admission to the hospital.

#: excluding 9 CMPs for which assessors could not reach agreement on severity.

&: …for maternal survival or avoidance of long-term maternal morbidity.

Borchert et al.

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

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