A complementary approach to outcome analysis in the parturient.

As part of routine Quality Assurance (QA) activity in our Department, a quarterly audit of patient outcome after obstetric anaesthetic care is completed. Previously this consisted of a technical (criteria-based) audit and some assessment of patient satisfaction. The most recent audit was carried out by a volunteer providing a cost-effective and flexible means of data collection. In addition, the focus of this audit has shifted to emphasize the importance of 'Patient Described Outcome' (PDO). These data are gathered by means of an interview by the volunteer and a patient questionnaire (PDO factors) and a chart audit (technical details). Simple analysis of data is done to assess both technical and PDO information. Technical details allow comparison to internal and published standards. PDO data provide a complementary means of assessing Structure, Process and Outcome. Thus, the audit permits internal and external evaluation of departmental activities and feedback of QA information necessary to a comprehensive QA program.