n Obstetrics and Gynaecology Forum - Gynaecological critical incidents. An audit of current gynaecological practice at Kalafong hospital over a six months period : research article




<I>Aim:</I> To identify critical incidents in the gynaecological practice at Kalafong hospital. <br><I>Setting:</I> Kalafong Hospital, a level 2 & 3 urban hospital in Atteridgeville, Tshwane. <br><I>Method:</I> A critical incident can be defined as any cause or action that leads to extra morbidity in the patient as well as any intervention that when it was performed could have led to serious morbidity or mortality in the gynaecological wards. Critical incidents were collected at the daily audit meeting. <br><I>Results:</I> The Dept of Gynaecology at Kalafong Hospital had a critical incident rate of 7, 98% over a six-months period. The Emergency Admission group had an overall critical incident rate of 5, 09% compared to the Elective Admission group, which had an overall critical incident rate of 15%. This unexpected difference can be explained by the large contribution of the Oncology patients. There was 29 out of 51 or 56, 86% of critical incidents from patients suffering from a gynecological oncological problem. The complication rate for elective surgery group is higher than the emergency group. Deaths accounted for 26, 60% of the critical incidents and 2, 15% of all admissions. The death rate is almost six times higher in the elective admission group (6, 76% versus 0, 24%), which can be accounted for by the fact that almost all oncology patients are counted as elective admissions. <br><I>Conclusion:</I> The system is usable. It became clear that a better database is necessary to determine more specific critical incident rates.


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