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Table 1 Effectiveness of full intervention compared with partial intervention (control) 18 months after initiation for 14 primary outcome measures with full range of observed performance across the 8 hospitals at 18 months indicated by minimum and maximum performance values.

From: Explaining the effects of a multifaceted intervention to improve inpatient care in rural Kenyan hospitals - interpretation based on retrospective examination of data from participant observation, quantitative and qualitative studies

Indicator of quality of care

(target 100%, maximum score or 0% where indicated by *)

End of Intervention

Mean change from baseline (%)

Difference-in-difference (%)

95%CI

(%)

 

Min

Max

Intervention

Control

   

Child's weight documented

45%

97%

25.2

42.2

-17.1

-76.5

42.4

Child's temperature documented

1%

90%

60.0

21.5

38.5

3.42

73.5

Average assessment score (range 0 - 1)

0.38

0.97

0.62

0.33

0.29

0.04

0.55

Proportion of pneumonia episodes with a severity classification

16%

97%

85.8

42.3

43.5

-9.47

96.5

Proportion of gentamicin prescriptions with once daily dose

68%

97%

87.4

70.9

16.5

0.69

32.3

Proportion of gentamicin prescriptions with daily dose < 4 mg/kg*

0%

17%

-22.8

-14.4

-8.36

-40.0

23.2

Proportion of gentamicin prescriptions with daily dose > = 10 mg/kg*

1%

16%

2.5

2.7

-0.20

-9.44

9.04

Proportion with adequate oxygen Prescriptions

0%

78%

37.0

-0.5

32.6

-3.57

68.8

Proportion of malaria episodes with a severity classification

10%

97%

82.4

38.6

43.8

4.14

83.5

Proportion of severe malaria with quinine loading

31%

98%

87.7

51.9

35.8

-30.70

100

Proportion of severe malaria with twice daily quinine maintenance dose

34%

97%

87.5

35.7

51.8

27.6

75.9

Proportion of severe malaria with quinine daily dose > = 40 mg/kg*

0%

16%

-6.3

-6.7

0.36

-8.63

9.35

Proportion of dehydration episodes with a severity classification

68%

99%

45.9

24.3

21.6

-8.97

52.1

Correct intravenous fluid prescription

28%

83%

59.9

25.6

34.3

13.8

54.8

Outcome indicators

       

Proportion with Vitamin A Administered on Admission

0%

75%

31.4

-3.3

34.8

-10.6

80.2

Age appropriate documentation of immunisation status

1%

28%

47.3

4.5

42.8

8.69

77.0

Provider Initiated HIV testing among unknown HIV

1%

75%

20.8

2.8

17.9

10.2

25.7

Mean proportion of discharge counseling tasks performed (score range 0 - 4)

0.64

3.55

1.36

0.82

0.55

-2.04

3.13