الفهرس 
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Abstract
Quality Emergency Obstetric Care (EOC) is critical for favorable
outcome of hospital care for both the mother and the newborn. The
outcome of care depends on the quality of the service provided (WHO,
2000).
There are many tools used to improve quality of care in the obstetric
care department. These include criterion-based audit, training, plan-do-study-act (PDSA) cycles…..etc (WHO, 2004).
Clinical audit is defined by ”A quality improvement process that
seeks to improve patient care and outcomes through systematic review of
care against explicit criteria and implementation of change” (NICE,
2002).
The present study aimed to improve the performance of Cairo
University Hospitals’ Emergency Obstetric Care Department through
identification of standards and criteria for auditing and assessing the
current practice of the natal care at the EOC Department.
The study was an intervention study conducted at the EOC
department (department number 10) at Cairo University Hospitals. The
study went in three stages; auditing of the present situation in relation to
the MOHP standards, intervention stage and re-auditing stage.
The first stage (auditing of the present situation) involved
observation of the physical structure and the clinical process in the EOC
Department using observation checklist. Also observation of the infection
control practices using infection control observation checklist. One
hundred clients in the post labor room were interviewed using client
satisfaction questionnaire.
Interventions addressed the identified deficiencies through agreeing
upon standards and communicating to the providers.
Then re-auditing was performed to detect changes happened
following implementation of the interventions