Diagnosis is the foundation of a correct intervention. However, diagnostic errors result in wrong interventions. This is a global phenomenon, where it is a common problem; which has been understudied. Looking at the Philippines, diagnostic errors are three times most likely to make pregnant women develop obstetric complications. In Kenya, there is a high annual maternal mortality prevalence ratio of 362/100,000 live births, with Bungoma County exceeding the national maternal mortality prevalence ratio of 382/100,000 live births annually. Maternal mortality more often than not, a factor, that arises from morbidity is fuelled by diagnostic errors that required determination of its consequences on obstetric outcomes in Bungoma county. Thus, this study investigated the prevalence of diagnostic errors as predictors of obstetric outcomes among post-natal mothers in Bungoma County. The study employed a descriptive cross-sectional research design, which was hospital-based (Bungoma and Webuye hospitals). Systematic sampling was used to obtain 384 respondents and purposive sampling to select 8 health care workers as key informants. Data was collected using a structured questionnaire and an interview guide. the pre-test was done; validity was established through crosschecking and reliability calculated using the Cronbach method (0.89). Using a statistical package for social sciences version 25, descriptive statistics were run. The study revealed a prevalence ratio of 3.996 whereas delayed diagnosis was 43.1%, missed 38.8%, absent diagnosis 27.5%, wrong diagnosis 34.9%, misinterpretation of results 24.1, unmatched 26.3% and unnecessary investigation 9.3%. The study demonstrates that a correct diagnosis is a viable strategy in preventing unsafe obstetric outcomes and by extension minimizing morbidity and mortality among pregnant women.
Ministry of Health (2017), [Kenya]. Saving Mothers lives. First confidential report into maternal deaths in Kenya.
McGlynn EA, McDonald KM, Cassel CK. Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute of Medicine. Jama. 2015 Dec 15;314(23):2501-2.
Allanson ER, Muller M, Pattinson RC. Causes of perinatal mortality and associated maternal complications in a South African province: challenges in predicting poor outcomes. BMC pregnancy and childbirth. 2015 Dec;15(1):1-7.
World Health Organization. Medication safety in polypharmacy: technical report. World Health Organization; 2019.
Nathan, R. O., Swanson, J. O., Swanson, D. L., McClure, E. M., Bolamba, V. L., Lokangaka, A., & Goldenberg, R. L. (2017). Evaluation of focused obstetric ultrasound examinations by health care personnel in the Democratic Republic of Congo, Guatemala, Kenya, Pakistan, and Zambia. Current problems in diagnostic radiology, 46(3), 210-215.
Ministry of Health [Kenya]. (2017). Bungoma county referral strategy and investment plan 2016/17-2020/21. Nairobi: MoH.
National Council for Population and Development (NCPD) and UNFPA (2013) Kenya Country Office, Kenya Population Situation Analysis (Nairobi: NCPD. and UNFPA, 2013).
Gacheri A. Tackling high maternal deaths in Kenya. Policy Brief, Parliament of Kenya.
Shimkhada, R., Solon, O., Tamondong-Lachica, D., & Peabody, J. W. (2016). Misdiagnosis of obstetrical cases and the clinical and cost consequences to patients: a cross-sectional study of urban providers in the Philippines. Global health action, 9(1), 32672.
Kenya Demographic and Health Survey (KDHS 2014) Kenya, Ministry of Health.
Singh H. Editorial: (2014). Helping health care organizations to define diagnostic errors as missed opportunities in diagnosis. Joint Commission Journal on Quality& Patient Safety. ;40(3):99–101. [PubMed]Stud HSO&P 2001; 17:97–129
Oketch, A (2017). Doctors cite the wrong diagnosis as a silent killer in Kenya, National News. Daily Nation of Thursday 29th 2017
Liberman, A. L., & Newman-Toker, D. E. (2018). Symptom-Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. BMJ quality & safety, 27(7), 557-566.
Graham WJ, Bell JS, Bullough CH. Can skilled attendance at delivery reduce maternal mortality in developing countries?. Safe motherhood strategies: a review of the evidence. 2001.
World Health Organization. Errors Medication. Technical series on safer primary care. Geneva: World Health Organization. 2016.
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