Naseeb Nama
SHO university hospital of north tees United kingdom, UKPresentation Title:
Quality improvement project on timings of category 1 and 2 caesarean sections in University Hospital of North Tees between 1st August 2024 till 31st July 2025
Abstract
Aim: To audit the timings of category 1and 2 caesarean sections over 6 months ,assess compliance with 30min and 75min decision to delivery interval standard ,and implement improvements.Reaudit was performed in subsequent 6 months to evaluate the effectiveness of interventions
Method: Data was collected from badgernet maternity record retrospectively over 6 months.Key parameters include decision to incision time,decision to delivery time ,indication for caesarean section.Following presentation of initial results targeted changes were implemented.Reaudit using same methodology was conducted over next 6 months
Result: In the initial audit 70% of category 1 caesarean sections met the 30min DDI standard . 75%of category 2 caesarean sections met 75min DDI standard.Common delays include the theatre availability,anasethetic delay,staff mobilisation,operative difficulties,other clinical priorities.After interventions ,the reaudit demonstrated improvement with 77 %of cases amongst category 1 achieving the target DDI.81%cases of category 2 achieved DDI standard.Notable reductions were observed in theatre transfer delays and anaesthetic times
Conclusion: The audit identified key barriers to achieving the 30min and 75min standard for category 1 and 2 caesarean sections .Implementation of targeted measures improved compliance and patient safety outcomes in reaudit cycle.Ongoing monitoring and multidisciplinary training are recommended to sustain progress
Biography
Naseeb Nama has done MBBS,FCPS,MRCOG UK, Currently working as speciality registrar in obstetrics and gynaecology in university hospital of north tees. She had multiple publications include pubmed indexed journal publications.
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