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Table 3 Nulliparous deliveries: Details of alarms and action taken

From: The CUSUM chart method as a tool for continuous monitoring of clinical outcomes using routinely collected data

 

Alarm details

Conclusion and Action

Phase 1:

1 – 755

Upward alarm at 755th delivery

Rate: 7 in 755 (0.93%)

Increase in rate of low Apgar scores

Look for cause and take corrective action

Continue monitoring (p 0 = 0.0060, h + = 1)

Phase 2:

756 – 1387

Upward alarm at 1387th delivery

Rate: 6 in 632 (0.95%)

Increase in rate of low Apgar scores

Look for cause and take corrective

Continue monitoring (p 0 = 0.0060, h + = 1)

Phase 3:

1388 – end

No alarms

Rate: 3 in 579 (0.52%)

Continue monitoring (p 0 = 0.0060, h + = 1)