Department of Public Health
Health Care Quality Graduate Study Program
Group Assignment on Clinical Audit Report Proposal to be submitted to
the School of Public Health, Yekatit 12 Medical College
Group -1 members
1. Abemelek Zegeye
2. Abera Tefera
3. Biniam Yohannes
4. Bisrat Tamene
5. Hailu Mulatu
6. Wubet Mihretu
7. Tariku Deressa
8. Zelalem Chemdesa
February 2022
Addis Ababa, Ethiopia
Acknowledgements
We would like to express our deep and sincere gratitude to zewditu memorial hospital
administration for the opportunity and facilitation provided to the team to conduct clinical
audit in the hospital and wish to express our sincere thanks to our instructor Dr. Mebratu
Bogale for making us understand clinical audit and provide us this golden opportunity to
practice the clinical audit in real circumstances as well as willing in continually guiding,
teaching and giving constructive comments.
Clinical audit Project Title: A Clinical audit on neonatal and child health care in
zewditu memorial hospital, Addis Ababa Ethiopia
Organization:
We
Service Area: The service area we are planning to do clinical audit on is neonatal and
child health care service.
Disciplines Involved
Names of team members Discipline Responsibility
1. Abera Tefera
2. Dr .Abemelek Zegeye General practioner EHSTG Team Lead in Gandhi Memorial
Hospital
3. Dr .Bisrat Tamene General practioner Clinical plan and monitor Team Lead in
Zewditu Memorial Hospital
4. Dr .Biniam Yohannes General practioner HSTQ Team Lead in Gandhi Memorial
Hospital
5. Dr .Hailu Mulatu General practioner Clinical governance and Quality
management Directorate Director in
Zewditu Memorial Hospital
6. Dr. Tariku Deressa General practioner CEO of Gandhi Memorial Hospital
7. Dr .Wubet Mihretu General practioner Clinical governance and Quality
management Directorate Director in
Gandhi Memorial Hospital
8. Dr. Zelalem Chemdesa Surgeon CEO of Zewditu Memorial Hospital
Project Lead: Dr. Zelalem Chemdesa and Dr. Hailu Mulatu
Other members of staffs involved
Names of other team Discipline Responsibility
members
1. Nurse Head of paediatric department
2. General Working in NICU
practioner
3. General Working In Paediatrics Ward
practioner
4. Paediatrician Working In Paediatrics Ward
Rationale
To enable health care workers and health care users to measure and evaluate clinical
practice against set standards.
To identify factors impeding successful implementation and adherence to the set
standards
To identify those areas that requires changes in human resources, technical knowledge
and in skills
To identify and meet further development and training needs of clinicians.
To advocate for patient safety
Aim of the Audit
The Aim of this audit is to highlight the discrepancies between actual practice and standard in
neonatal and child health service area in order to identify the changes needed to improve the
quality of care.
Objectives
To determine the discrepancies between actual practice against preset national
neonatal and child health standards in Zewditu Memorial hospital Addis Ababa,
Ethiopia
To use the gap identified for improving the service in zewditu memorial hospital
Addis Ababa ,Ethiopia
Standard and Criteria Selection