Pressure-volume-temperature relations of water in the range 400-1000 C and 100-1400 bars, Part 5 of Properties of water

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ID: 294209
1959
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Abstract
Background Although there are many evidence-based practices that reduce the risk of maternal and neonatal mortality around the time of birth, there remains a gap between what is known and the care received. This know-do gap is a source of preventable maternal and perinatal deaths and is the focus of improvement efforts in many countries. Following an increase in perinatal and maternal deaths, Gobabis District Hospital initiated a quality improvement (QI) initiative to increase adherence to these WHO Safe Childbirth Checklist (SCC)-targeted essential birth practices (EBPs). Methods We implemented the SCC with support from leadership, coaching and organisational redesign. Implementation was led by a facility champion supported by a QI team and adapted through a series of three 8-week Plan–Do–Study–Act (PDSA) cycles. Results During the 6-month period, we observed an improvement of average EBPs delivered from 68% to 95%. We also found reductions in perinatal mortality rates from 22 deaths/1000 deliveries to 13.8/1000 deliveries largely due to a drop in fresh stillbirths. Conclusion We conclude that replicating the programme is feasible, acceptable and effective in areas where gaps exist, but it requires local leadership, ongoing coaching and adaptation through PDSA cycles.
Reference Key
openalex_W2110854593 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors W. T. Holser, G. C. Kennedy
Journal american journal of science
Year 1959
DOI
10.2475/ajs.257.1.71
URL
https://ajsonline.org/article/58732.pdf
Keywords Keywords not found

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