Table 2 Attainment of standards in the first and second audits
From: Criteria-based audit to improve a district referral system in Malawi: A pilot study
Standards | Initial audit (n = 60) | Re-audit (n = 62) | OR (95% CI) | p-value |
|---|---|---|---|---|
All referred patients come with a referral form filled by the referring facility | 58/60 (96.7%) | 62/62 (100.0%) | 1.03 (0.61–1.77) | 0.848 |
Ambulances are available at all times to transport referred patients | 60/60 (100.0%) | 62/62 (100.0%) | 1.00 (0.59–1.70) | 1.000 |
Health centre staff inform the district hospital through the short-wave radio when a patient is referred | 60/60 (100.0%) | 62/62 (100.0%) | 1.00 (0.59–1.70) | 1.000 |
Health centre staff receive feedback on all patients referred | 1/60 (1.7%) | 57/62 (91.9%) | 55.16 (10.08–1138.11) | <0.001 |
All patients are adequately resuscitated before referral | 20/60 (33.3%) | 55/62 (88.7%) | 2.66 (1.43–5.01) | 0.001 |
A delay of less than 2 hours from the time an ambulance was called to when the ambulance brought the patient to the district hospital | 23/55 (41.8%) | 53/60 (88.3%) | 2.11 (1.15–3.92) | 0.014 |
All patients referred are attended to by a clinician within 30 minute of arrival in the district hospital | 16/52 (30.8%) | 50/54 (92.6%) | 3.01 (1.53–6.03) | 0.001 |