[Quality of care given to seriously ill children in a provincial hospital in central Africa].
The aim of this study is to describe the quality of care provided to children hospitalized in the provincial hospital of Goma (HPG) and to identify the risk factors in the management of care, especially those which can contribute to a poor or inaccurate prognosis, and to uncover and show any inadequacies in care management. The data were collected with the use of a structured questionnaire updated by Nolan in 2001. The study allowed us to look at the initial assessment of incoming patients and to describe the quality of triage, emergency care, diagnosis, inpatient care, staff knowledge and practices, hospitals support services and any factors related to these that may lead to negative outcomes. The level of the severity of the illness and a late diagnosis were risk factors identified for mortality. The quality of care provided to the children during the day was high and good; however, night time care was insufficient. It was noted that nurses were found to lack adequate knowledge.
Faculté de médecine de l'Université de Goma (RDC), Service de pédiatrie, Hôpital provincial de Goma, Goma République démocratique du Congo (RDC). bitwe@yahoo.fr
Richard
R
Bitwe
Michèle
M
Dramaix
Philippe
P
Hennart
D002648:Child; D002675:Child, Preschool; D015023:Democratic Republic of the Congo; D006761:Hospitals; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010372:Pediatrics; D011787:Quality of Health Care; D012720:Severity of Illness Index