ArticleBMJ open quality2026
Increase days between maternal death at Dessie Comprehensive Specialized Hospital, Amhara region, Ethiopia.
Article in BMJ open quality, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal mortality is an area of particular concern in public health, especially in Africa, maternal deaths are the highest in the world. Globally, 287 000 women died during and following pregnancy and childbirth, almost 95% of all maternal deaths occurred in low and lower middle-income countries. Ethiopia is one of the countries struggling to reduce high maternal mortality from 412 deaths per 100 000 live births to 70 deaths per 100 000 live births. Ethiopia has implemented various initiatives to handle delays related to maternal death and availing free transport and maternity service. Despite all this effort, however, the number of maternal deaths remains unacceptably high. However, none of the quality improvement (QI) projects tested and implemented to reduce maternal mortality at facility level. In response to this gap, this QI project is aimed at increasing days between maternal death at Dessie Comprehensive Specialized Hospital, Amhara region, Ethiopia.
methodsModel for Improvement method was applied. As a baseline, we collected 1 year maternal mortality data, 6 months of chart review to assess the quality of care and 1 year's data collected during implementation.
resultThe T-chart shows the average days between maternal deaths at Dessie Comprehensive Specialized Hospital increased from 14 days to 39 days. When we compared the absolute numbers, there were 21 maternal deaths within 1 year after implementing the interventions, which was only nine maternal deaths compared with the same period in the previous year. When we calculated the maternal mortality ratio, we reduced it from 327 per 100 000 live births to 162 per 100 000 live births.
conclusionThe project involved three successful interventions: conducting consultations within 20 min, using the E-MOTIVE bundle checklist and implementing the pre-eclampsia/eclampsia bundle checklist. Additionally, through our Plan-Do-Study-Act cycles, we learnt that a short consultation process, having one intensive care unit bed ready for mothers, ensuring the availability of essential medicines like tranexamic acid, using bundles, maintaining strong communication, engaging senior management in QI activities and holding frequent meetings of the QI committee were all helpful in improving our QI project.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.