Crofts J, Moyo J, Ndebele W, Mhlanga S, Draycott T, Sibanda T
School of Clinical Sciences, Southmead Hospital, University of Bristol, Bristol, BS10 5NB, England .
Mpilo Central Hospital, Bulawayo, Zimbabwe .
Bull World Health Organ. 2014 Feb 1;92(2):146-52. doi: 10.2471/BLT.13.124347. Epub 2013 Nov 27.
The Commission on Information and Accountability for Women's and Children's Health of the World Health Organization (WHO) reported that national health outcome data were often of questionable quality and "not timely enough for practical use by health planners and administrators". Delayed reporting of poor-quality data limits the ability of front-line staff to identify problems rapidly and make improvements.
Clinical "dashboards" based on locally available data offer a way of providing accurate and timely information. A dashboard is a simple computerized tool that presents a health facility's clinical data graphically using a traffic-light coding system to alert front-line staff about changes in the frequency of clinical outcomes. It provides rapid feedback on local outcomes in an accessible form and enables problems to be detected early. Until now, dashboards have been used only in high-resource settings.
An overview maternity dashboard and a maternal mortality dashboard were designed for, and introduced at, a public hospital in Zimbabwe. A midwife at the hospital was trained to collect and input data monthly.
Implementation of the maternity dashboards was feasible and 28 months of clinical outcome data were summarized using common computer software. Presentation of these data to staff led to the rapid identification of adverse trends in outcomes and to suggestions for actions to improve health-care quality.
Implementation of maternity dashboards was feasible in a low-resource setting and resulted in actions that improved health-care quality locally. Active participation of hospital management and midwifery staff was crucial to their success.
世界卫生组织（WHO）妇女和儿童健康信息与问责委员会报告称，国家卫生成果数据的质量往往存疑，“对卫生规划者和管理人员的实际使用而言不够及时”。低质量数据的延迟报告限制了一线工作人员迅速识别问题并做出改进的能力。
基于本地可得数据的临床“仪表盘”提供了一种提供准确及时信息的方式。仪表盘是一种简单的计算机工具，它使用交通信号灯编码系统以图形方式呈现医疗机构的临床数据，以提醒一线工作人员临床结果发生频率的变化。它以易于获取的形式提供有关当地结果的快速反馈，并能够早期发现问题。到目前为止，仪表盘仅在资源丰富的环境中使用。
为津巴布韦的一家公立医院设计并引入了一个综合产科仪表盘和一个孕产妇死亡率仪表盘。该医院的一名助产士接受了每月收集和输入数据的培训。
产科仪表盘的实施是可行的，并且使用通用计算机软件汇总了28个月的临床结果数据。向工作人员展示这些数据导致迅速识别出结果中的不良趋势，并提出了改善医疗质量的行动建议。
在资源匮乏的环境中实施产科仪表盘是可行的，并导致了在当地改善医疗质量的行动。医院管理层和助产士的积极参与对其成功至关重要。
