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Table 3 Unadjusted differences in process of care indicators during the post intervention period

From: Assessment of paediatric inpatient care during a multifaceted quality improvement intervention in Kenyan District Hospitals – use of prospectively collected case record data

  Prospective Retrospective
Indicator of quality of care Intervention % Control % Difference [95% CI] Risk ratio [95% CI] Intervention Control Difference [95% CI] Risk ratio [95% CI]
All Children         
Childs weight documented 79.1 45 34.1[27.7-40.4] 1.8[1.6-2.0] 82.8 59.1 23.7[21.0-26.4] 1.4[1.3-1.5]
Child’s temperature documented 63 30.5 32.4[25.9-39.0] 2.1[1.7-2.4] 64.9 46 18.9[15.9-21.8] 1.4[1.3-1.5]
Vitamin A Administered on Admission 16.4 17.3 −0.9[−6.1-4.3] 0.9[0.7-1.3] 22.2 11.9 10.3[8.0-12.5] 1.9[1.6-2.1]
Provider Initiated HIV testing 18.1 15.8 2.3[−2.9-7.6] 1.1[0.8-1.6] 16 3.5 12.6[10.8-14.3] 4.6[3.6-6.0]
Vaccination status documented 41.3 18.6 22.7[16.6-28.9] 2.2[1.8-2.8] 50.8 27.2 23.6[20.8-26.5] 1.9[1.7-2.0]
Average assessment score (range, 0–1) 92.1 58.7 33.4[29.9-36.9]   92.6 67.2 25.4[23.9-26.9]  
Children with diagnosis of malaria         
Proportion of malaria with a severity classification 91.9 43 48.9[42.1-55.7] 2.1[1.9-2.5] 89.1 46.8 42.3[39.1-45.5] 1.9[1.8-2.0]
Proportion with quinine loading dose 88.5 59.3 29.2[20.5-37.9] 1.5[1.3-1.7] 86.9 58.1 28.8[24.8-32.8] 1.5[1.4-1.6]
Proportion with twice daily quinine maintenance dose 94.1 74.9 19.2[12.2-26.2] 1.3[1.1-1.4] 79 42.5 36.5[32.0-41.1] 1.9[1.7-2.0]
Proportion with quinine daily dose > =40 mg/kg 4 1 2.9[−0.1-6.0] 3.8[0.8-17.6] 2.2 8 −5.8[−8.0--3.6] 0.3[0.2-0.4]
Children with diagnosis of pneumonia         
Proportion of pneumonia with a severity classification 95.8 63.6 32.2[24.0-40.4] 1.5[1.3-1.7] 93.3 70.1 23.2[19.9-26.6] 1.3[1.3-1.4]
Proportion with once daily gentamicin dose 86.8 57.6 29.2[19.9-38.5] 1.5[1.3-1.7] 79.1 68.1 11.1[6.7-15.4] 1.2[1.1-1.2]
Proportion with gentamicin daily dose <4 mg/kg 3.9 3.4 0.5[−3.8-4.8] 1.1[0.4-3.7] 3.9 15.3 −11.4[−14.3--8.6] 0.3[0.2-0.4]
Proportion with gentamicin daily dose > =10 mg/kg 4.7 6.8 −2.1[−7.3-3.1] 0.7[0.3-1.8] 8.6 9.9 −1.2[−4.1-1.6] 0.9[0.6-1.2]
Children with diagnosis of diarrhea/dehydration         
Proportion of diarrhoea/dehydration diagnosis with a severity classification 98.6 85.2 13.4[3.6-23.3] 1.2[1.0-1.3] 97.9 89.1 8.7[5.9-11.6] 1.1[1.1-1.1]
Correct fluid prescription 67.3 11.5 55.8[37.8-73.8] 5.8[2.0-17.2] 62.2 32.7 29.5[22.9-36.1] 1.9[1.6-2.2]