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Table 2 Attainment of standards in the first and second audits

From: Criteria-based audit to improve a district referral system in Malawi: A pilot study

Standards Initial audit
(n = 60)
Re-audit
(n = 62)
OR (95% CI) p-value
All referred patients come with a referral form filled by the referring facility 58/60 (96.7%) 62/62 (100.0%) 1.03 (0.61–1.77) 0.848
Ambulances are available at all times to transport referred patients 60/60 (100.0%) 62/62 (100.0%) 1.00 (0.59–1.70) 1.000
Health centre staff inform the district hospital through the short-wave radio when a patient is referred 60/60 (100.0%) 62/62 (100.0%) 1.00 (0.59–1.70) 1.000
Health centre staff receive feedback on all patients referred 1/60 (1.7%) 57/62 (91.9%) 55.16 (10.08–1138.11) <0.001
All patients are adequately resuscitated before referral 20/60 (33.3%) 55/62 (88.7%) 2.66 (1.43–5.01) 0.001
A delay of less than 2 hours from the time an ambulance was called to when the ambulance brought the patient to the district hospital 23/55 (41.8%) 53/60 (88.3%) 2.11 (1.15–3.92) 0.014
All patients referred are attended to by a clinician within 30 minute of arrival in the district hospital 16/52 (30.8%) 50/54 (92.6%) 3.01 (1.53–6.03) 0.001