Mduma Estomih R, Ersdal Hege, Kvaloy Jan Terje, Svensen Erling, Mdoe Paschal, Perlman Jeffrey, Kidanto Hussein Lessio, Soreide Eldar
Haydom Global Health Research Centre, Haydom Lutheran Hospital, Haydom Manyara, Tanzania.
Stavanger University Hospital, Stavanger, Norway.
Int J Qual Health Care. 2018 May 1;30(4):271-275. doi: 10.1093/intqhc/mzy003.
To trace and document smaller changes in perinatal survival over time.
Prospective observational study, with retrospective analysis.
Labor ward and operating theater at Haydom Lutheran Hospital in rural north-central Tanzania.
All women giving birth and birth attendants.
Helping Babies Breathe (HBB) simulation training on newborn care and resuscitation and some other efforts to improve perinatal outcome.
Perinatal survival, including fresh stillbirths and early (24-h) newborn survival.
The variable life-adjusted plot and cumulative sum chart revealed a steady improvement in survival over time, after the baseline period. There were some variations throughout the study period, and some of these could be linked to different interventions and events.
To our knowledge, this is the first time statistical process control methods have been used to document changes in perinatal mortality over time in a rural Sub-Saharan hospital, showing a steady increase in survival. These methods can be utilized to continuously monitor and describe changes in patient outcomes.
追踪并记录围产期生存率随时间的细微变化。
前瞻性观察性研究，并进行回顾性分析。
坦桑尼亚中北部农村地区的海多姆路德医院的产房和手术室。
所有分娩的妇女和助产人员。
针对新生儿护理和复苏的“帮助婴儿呼吸”（HBB）模拟培训以及其他一些改善围产期结局的措施。
围产期生存率，包括新鲜死产和早期（24小时）新生儿生存率。
可变寿命调整图和累积和图显示，在基线期之后，生存率随时间稳步提高。在整个研究期间存在一些变化，其中一些变化可能与不同的干预措施和事件有关。
据我们所知，这是首次在撒哈拉以南农村医院使用统计过程控制方法记录围产期死亡率随时间的变化，显示出生存率稳步上升。这些方法可用于持续监测和描述患者结局的变化。
