Chinese Journal of Medical History / Zhong Hua Yi Shi Za Zhi

[This article belongs to Volume - 53, Issue - 05]

Abstract : The implementation of clinical audits is becoming more complex. Identifying the factors and barriers that promote or hinder the performance of stillbirth and neonatal death audits is crucial to enable hospital managers and programme planners at national, regional and provincial levels to implement effective stillbirth and neonatal death audits to improve the quality of newborn care. Identify obstacles and barriers to implementing clinical audits in hospitals in the SOUS MASSA region. Qualitative study using a semi-structured interview with the managers and staff involved in monitoring and evaluating the clinical audit of stillbirths and neonatal deaths. This study has identified the main obstacles to implementing clinical audits and the essential factors for successfully implementing this process. The main obstacles relate to human resources, in particular the shortage of human resources and trained staff, lack of awareness of the importance of conducting clinical audits, and failure to comply with good practice standards for conducting clinical audits. The success factors identified relate to the role of the audit coordinator, the monitoring of clinical audit activity, the implementation of recommendations, and staff training and awareness. Clinical audit review meetings for stillbirths and neonatal deaths can be effective and informative. However, they are an evolving process that requires appropriate resourcing and evaluation, which must be fully integrated into the hospital culture as part of overall quality improvement.