Near miss audit in obstetrics

Penney, Gillian; Brace, V.

doi:10.1097/gco.0b013e328014a860

Cited by 78 publications

(41 citation statements)

References 28 publications

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“…There have been multiple published definitions of near-miss utilized nationally and internationally 8 This limits the generalizability of our data as well as others. In our study, we chose to use a modification of Mantel 10 and Waterhouse 12 based on systems used in our hospital as criteria for near-miss.…”

Section: Discussionmentioning

confidence: 89%

“…[4][5][6][7] There is great variation in published studies in defining near-miss. 8,9 A 1-year prospective multi-center study defined 'near-miss' as an acute organ system dysfunction, which if not treated appropriately, could result in death. 10,11 Several retrospective studies have defined 'near-miss' as obstetric intensive care admissions 12 or prolonged hospital stays and re-admissions.…”

Section: Introductionmentioning

confidence: 99%

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Predictors of maternal mortality and near-miss maternal morbidity

et al. 2007

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Objective: To identify risk factors for life-threatening maternal outcomes.Study Design: Hospital charts were reviewed for cases of maternal mortality or near-miss and for controls overmatched 1:3. Significant risk factors were identified through simple and best subsets multiple logistic regression.Result: Eight cases of mortality and 69 near-miss cases were found. Significant risk factors with their odds ratios and 95% confidence intervals are: age 35 to 39 years (2.3, 1.2 to 4.4) and >39 years (5.1, 1.8 to 14.4); African-American race (7.4, 2.5 to 22.0) and Hispanic ethnicity (4.2, 1.3 to 13.2); chronic medical condition (2.7, 1.5 to 4.8); obesity (3.0, 1.7 to 5.3); prior cesarean (5.2, 2.8 to 9.8) and gravidity (1.2, 1.1 to 1.5 per pregnancy). In multivariable logistic regression, race remained significant while controlling for other significant factors and markers of socioeconomic status.Conclusion: Some risk factors can be modified through medical care, education or social support systems. Racial disparity in outcome is confirmed and is unexplained by traditional risk factors.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Predictors of maternal mortality and near-miss maternal morbidity

et al. 2007

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“…15 There should be standardization of inclusion criteria as well as methods for case assessment to facilitate comparison over time and between countries. 16 Lack of proper antenatal care and delay in ICU referral are easily preventable factors that affect outcome. 17 Audit of SAMM cases help us to understand the spectrum from maternal morbidity to mortality.…”

mentioning

confidence: 99%

Severe acute maternal morbidity: study of epidemiology and risk factors

Sinha

Goel

Sah

et al. 2016

Int J Reprod Contracept Obstet Gynecol

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“…O progressivo declínio das taxas de mortalidade materna, especialmente nos países desenvolvidos, tornou relevante o estudo do near miss materno. Tendo em vista que as condições que cercam o near miss são bastante semelhantes àquelas que se associam ao óbito materno 6 , e que o near miss apresenta incidência consideravelmente maior, seu estudo pode oferecer conclusões mais robustas sobre a assistência obstétrica prestada em diferentes contextos e, por conseguinte, nortear ações que visem a minimizar a morbimortalidade materna 7,8,9,10 .…”

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