Measuring quality of maternity care

Collins, Katherine J.; Draycott, Timothy

doi:10.1016/j.bpobgyn.2015.03.021

Cited by 9 publications

(9 citation statements)

References 27 publications

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“…However it has been found difficult to implement in some settings [ 12 , 13 ] and particularly, since it requires additional data collection, monitoring represents a burden that many healthcare environments cannot sustain. In response to concerns about data collection burden, many calls have been made to use routinely available hospital administration data in order to monitor outcomes [ 14 – 16 ].…”

Section: Introductionmentioning

confidence: 99%

Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data

2016

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IntroductionAs maternal deaths become rarer, monitoring near-miss or severe maternal morbidity becomes important as a tool to measure changes in care quality. Many calls have been made to use routinely available hospital administration data to monitor the quality of maternity care. We investigated 1) the feasibility of developing an English Maternal Morbidity Outcome Indicator (EMMOI) by reproducing an Australian indicator using routinely available hospital data, 2) the impact of modifications to the indicator to address potential data quality issues, 3) the reliability of the indicator.MethodsWe used data from 6,389,066 women giving birth in England from April 2003 to March 2013 available in the Hospital Episode Statistics (HES) database of the Health and Social care Information centre (HSCIC). A composite indicator, EMMOI, was generated from the diagnoses and procedure codes. Rates of individual morbid events included in the EMMOI were compared with the rates in the UK reported by population-based studies.ResultsEMMOI included 26 morbid events (17 diagnosis and 9 procedures). Selection of the individual morbid events was guided by the Australian indicator and published literature for conditions associated with maternal morbidity and mortality in the UK, but was mainly driven by the quality of the routine hospital data. Comparing the rates of individual morbid events of the indicator with figures from population-based studies showed that the possibility of false positive and false negative cases cannot be ruled out.ConclusionWhile routine English hospital data can be used to generate a composite indicator to monitor trends in maternal morbidity during childbirth, the quality and reliability of this monitoring indicator depends on the quality of the hospital data, which is currently inadequate.

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Section: Introductionmentioning

confidence: 99%

Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data

2016

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“…Quality of care for patients is one such avenue that demands national attention and is currently being examined (Agency for Healthcare Research and Quality, 2012;National Quality Forum, 2012;The Joint Commission, 2010;Merry & Crago, 2001;Donabedian & Attwood, 1963;Donabedian, 1966;Weisbrod, 1988;Iglehart & Baron, 2012). A unique view of the outcomes and behaviors of healthcare organizations would specifically examine quality indicators related to perinatal care (Collins and Draycott, 2015). Perinatal care as defined by the World Health Organization (2016) as the time surrounding childbirth.…”

Section: Chapter 5: Discussionmentioning

confidence: 99%

“…Recently, there has been a call for a more comprehensive approach to measuring quality in the perinatal care setting (Collins & Draycott, 2015). (Collins & Draycott, 2015 Bartick, Stuebe, Shealy, Walker, Grummer-Strawn, 2009;Perrine, Scanlon, Li, Odom, Grummer-Strawn, 2012;Martens, 2012;Merten, Dratva, Ackermann-Liebrich, 2005). These empirical investigations of The Ten Steps exhibit processes and outcomes in the Donabedian model (1966) and Type II quality according to Weisbrod (1988).…”

Section: Hospital Qualitymentioning

confidence: 99%

“…is not one measure of quality perinatal care, but rather numerous measures that are integrated together to form a broad measure of quality (Pettersson, Johansson, Pelembe, Dgedge, & Christensson, 2006;Collins & Draycott, 2015). Professional adequacy is one such measure and is described as having the adequate tools and continuing education to manage the reality of caring for mother/baby dyads (Pettersson, Johansson, Pelembe, Dgedge, & Christensson, 2006).…”

Section: Continuing Medical Education and Perinatal Care Research Inmentioning

confidence: 99%

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Organizational Factors Associated With Quality Perinatal Care

Akers

Thompson

Sloan³

et al. 2019

Health Care Manag

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I would like to take a moment to express my sincere appreciation to my dissertation committee for your commitment and dedication to my success. Dr. Margaret Sloan, thank you for being my mentor, my Advisor, and my Dissertation Committee Chair. Your insight and support have challenged me in ways that have helped to develop a strong nonprofit scholar. Dr. Karen Ford, thank you for always ensuring that strategic leadership is at the forefront of my mind and my studies. Dr. Jon Thompson, thank you for offering your expert advice, suggestions, and support. Dr. Tammy Eberly, thank you for coming out of retirement to offer your expertise and guidance. A special thank you also goes to Brooke Rhodes who encouraged me, allowed me to vent, and allowed me to debrief about all things "toddler" on days when I really need a listening ear. Thank you to all of my fellow SSLS students and alumni who encouraged and supported me in my classes and along my journey.

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“…Especially in recent years, the quality of obstetric care has started to be measured for many reasons. Healthcare organisations need to monitor and measure the quality of obstetric services [7]. When the literature is analysed, some indicators for measuring the quality of maternity services are observed.…”

Section: Introductionmentioning

confidence: 99%

Health quality standards evaluation of quality indicators of maternity services

Koc,

Sengoz,

Koyak

2024

Med-Science

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Indicators are used by health institutions to monitor the quality of maternity services and to determine the level of quality of care. The aim of this study was to examine the level of meeting the quality indicators of maternity services monitored in a training and research hospital and to analyze the results. This study was planned as a single-centre, retrospective, descriptive study The quality indicators of maternity services monitored by the quality unit of our hospital in 2021-2022 were included in the study. Primary cesarean section rate was 19.4% (2021), 21.3% (2022), cesarean section rate in women giving birth for the first time with low risk was 30.3% (2021), 32.5%, rate of venous thromboembolism prophylaxis after vaginal delivery according to risk level was 83.1% (2021), 92.5% (2022), rate of venous thromboembolism prophylaxis after vaginal delivery according to risk level was 8.9%, (2021), 7.2% (2022), the rate of use of safe birth control list was 12.6% (2021), 19.8% (2022), the rate of mother-infant pairs who had skin-to-skin contact within the first hour after birth was 88.6% (2021), 93.8% (2022), the rate of infants discharged with only breast milk was 85.7% (2021), 88.8% (2022), the rate of postnatal mothers being evaluated for depression risk was 95.7% (2021), 14.7% (2022). It has been determined that the quality indicators monitored within the scope of birth services in our hospital are monitored and necessary improvement activities are carried out in cases where target values aren’t reached. It is thought that indicator management is very important in increasing the quality of care of the complex birth process and preventing complications during the birth process.

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Measuring quality of maternity care

Cited by 9 publications

References 27 publications

Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data

Establishing a National Maternal Morbidity Outcome Indicator in England: A Population-Based Study Using Routine Hospital Data

Organizational Factors Associated With Quality Perinatal Care

Health quality standards evaluation of quality indicators of maternity services

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