The Maternity Dashboard: how effective is it in improving maternity care?

Muhammad, Sadia; Chandraharan, Edwin

doi:10.1016/j.ogrm.2016.06.002

Cited by 5 publications

(4 citation statements)

References 4 publications

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“…Maternity Dashboard demands both individual and collective efforts to continuously improve patient care and outcomes, which warrants a significant time commitment and good quality data. 15…”

Section: Discussionmentioning

confidence: 99%

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Development and Implementation of Maternity Dashboard in Regional Hospital for Quality Improvement at Ground Level: A Pilot Study

Patel¹,

Rathi²,

Yarubi³

2019

OMJ

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Objectives We sought to develop and implement a Maternity Dashboard to improve the quality of health care at the ground level. Methods We conducted a prospective, descriptive cross-sectional study, involving patients with high-risk pregnancies who had been referred to Nizwa Hospital, Oman. The selection of quality indicators was based on the prototype of clinical outcomes from the Royal College of Obstetricians and Gynecologists. The Maternity Dashboard team adapted local parameters and used preselected general parameters, based on clinical observations, to develop the dashboard. Results The issues posing a threat to Nizwa Hospital in becoming a world-class healthcare facility were: overbooked outpatient department, insufficient staff, and more junior doctors compared to senior doctors and consultants. Additionally, being pioneers, naturally, the dashboard development team faced difficulties while handling adverse situations. More time, guidance, and standardization of quality indicators are desirable. Conclusions Following the approval for a Maternity Dashboard in Nizwa Hospital, the data compiled in an Excel sheet are transmitted manually every month for display on the dashboard in the delivery suite. It is intended to make data collected and dissemination completely automated in the future with the help of the Al-Shifa Healthcare Information System. Expansion of the idea of a Maternity Dashboard to other hospitals and specialties at the regional and tertiary level of the health care system in Oman and a comparison of the standard of health care provided between hospitals based on similar quality indicators would be the next milestone.

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Section: Discussionmentioning

confidence: 99%

“…In addition to the preselected general parameter, local parameters were adapted by the Maternity Dashboard team, based on clinical observations that required improvement. 15 Box 1 shows the selected parameters which are broadly categorized into clinical activity, maternal outcome, and neonatal outcome measures.…”

Section: Methodsmentioning

confidence: 99%

Development and Implementation of Maternity Dashboard in Regional Hospital for Quality Improvement at Ground Level: A Pilot Study

Patel¹,

Rathi²,

Yarubi³

2019

OMJ

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“…Performance can be determined using dashboards by offering useful and practical information in the form of KPIs (13,14,19). In this regard, a set of KPIs or clinical outcomes can be used to measure the quality of pregnancy care services and the success of maternity dashboards (10,20). Accordingly, this study aims to investigate and identify the effective KPIs of maternity dashboards.…”

Section: Objectivesmentioning

confidence: 99%

Identifying and Determining Effective Key Performance Indicators in the Development of Maternity Dashboard

Hosseini,

Shakiba,

Ramezanghorbani

et al. 2023

Shiraz E-Med J

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Background: The well-being of both the mother and her baby can be influenced by the quality of the care they receive during pregnancy, childbirth, and postpartum. It’s crucial to ascertain the quality of the healthcare provided in order to improve it. Therefore, utilizing a maternity dashboard is vital to measure key performance indicators (KPIs), improve the quality of care, and ensure high-quality care. Objectives: To identify and determine effective KPIs for developing a maternity dashboard. Methods: This qualitative applied research was conducted in two stages to identify and determine KPIs for developing a maternity dashboard in Iran. In the first stage, a literature review was performed, followed by a qualitative comparative analysis of maternity dashboards in various countries to extract KPIs. In the second stage, 48 KPIs were identified and validated by a panel of experts using the Delphi technique. These KPIs were classified into 6 categories and finalized by the expert panel. Data analysis was conducted using content analysis and descriptive statistics. Results: In the initial phase of the Delphi technique, all experts confirmed three main categories of KPIs required for developing the maternity dashboard: (1) clinical activity, (2) fetal and neonatal complications, and (3) postnatal. In the second stage, an expert panel reviewed the indicators, leading to the identification of six groups of essential KPIs, including clinical activity, antenatal care, childbirth, maternal complications, fetal and neonatal complications, and postnatal care, upon which 100% consensus was reached by experts. Conclusions: Maternity dashboards are vital instruments for delivering effective maternity care. These dashboards can provide valuable and practical information through KPIs, which serve as criteria for evaluating performance.

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“…). In dashboards whose purpose(s) were categorized as solely administrative (n=97), most included clinical end-users (n=74/97, 76.3%); few were used solely by non-clinical staff (n=21/97, 21.6%)[34,37,41,58,62,65,80,89,105,114,130,142,146,159,182,[184][185][186][187][188]; clinical users were almost always included as end-users regardless of why or where the dashboard was being used (Table3, cross tab of purpose x user group in Supplementary Table6).Of dashboards used exclusively in inpatient settings (n=63), most were used for administrative purposes (n=33/63, 52.4%)[22,30,31,37,53,61,71,75,82,86,87,95,98,108,110,116,124,130,131,133,137,142,143,151,170,[189][190][191][192][193][194][195][196], followed by clinical purposes (n=22/63, 34.9%) [23,29,38,46,51,55-57,63,70,78,84,96,102,111,113,125,129,140,197-199]. Prevalent uses for solely inpatient dashboards included performance monitoring (n=30/63, 47.6%)[22,30,31,53,61, 71,75,82,86,95,98,108,110,116,124,130,131,133,142,143,151,176,189-1...…”

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confidence: 99%

Scoping review of dashboards in health care: why, how, and for whom they have been developed, implemented, and evaluated (Preprint)

Helminski,

Sussman,

Pfeiffer

et al. 2024

Preprint

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BACKGROUND While dashboards are frequently used by health systems to monitor and improve performance, little is known about their characteristics and the processes used to incorporate them into practice. OBJECTIVE This scoping review aimed to explore published literature on health care dashboards to summarize why, how, and for whom they have been developed, implemented, and evaluated. METHODS MEDLINE, EMBASE, Web of Science and the Cochrane Library were searched from inception through July 2020. Studies were included if they described the development or evaluation of a health care dashboard with publication since 2015. Clinical setting, purpose (categorized as clinical, administrative, or both), and end-user were extracted for all studies. Data on dashboard development, design characteristics, implementation strategies, and evaluation were extracted only for studies published from 2018-2020. RESULTS Data was extracted for 199 dashboards described in 193 publications. The most common settings in which dashboards were used were inpatient (n=81/199, 40.7%) and outpatient clinics (n=68/199, 34.2%). Most dashboards had ≥2 stated purposes (n=142/199, 71.4%); of these, 97/199 (48.7%) were administrative, 68/199 (34.2%) were clinical, and 31/199 (15.6%) met both criteria. Most dashboards included front-line clinical staff as end-users (n=154/199, 77.4%). In the 118 dashboards published from 2018-2020, half involved end-users in the design process (n=59/118, 50.0%); fewer described formative usability testing (n=26/118, 22.0%) or use of any theory or framework to guide development, implementation, or evaluation (n=24/118, 20.3%). Dashboards tended to be web-based (n=41/118, 34.7%) or embedded directly into the electronic health record (n=17/118, 14.4%). Common implementation strategies used alongside dashboards included education (n=60/118, 50.8%), audit and feedback (n=59/118, 50.0%), and advisory boards (n=54/118, 45.8%). Evaluations of dashboards (n=84/118, 71.2%) were mostly quantitative (n=60/118, 50.8%), or mixed methods, combining dashboard or health record data with qualitative findings (n=18/118, 15.2%). CONCLUSIONS Dashboards in health care have been used in diverse settings, for multiple purposes and varied end users. The complexity of many dashboards – serving many purposes and end users at once – and the frequent expectation that clinicians will use them underscores the importance of systematic design and evaluation to ensure they are having the intended outcomes. Future work is needed to identify best practices for the development, implementation, and evaluation of health care dashboards. INTERNATIONAL REGISTERED REPORT RR2-10.2196/34894

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The Maternity Dashboard: how effective is it in improving maternity care?

Cited by 5 publications

References 4 publications

Development and Implementation of Maternity Dashboard in Regional Hospital for Quality Improvement at Ground Level: A Pilot Study

Development and Implementation of Maternity Dashboard in Regional Hospital for Quality Improvement at Ground Level: A Pilot Study

Identifying and Determining Effective Key Performance Indicators in the Development of Maternity Dashboard

Scoping review of dashboards in health care: why, how, and for whom they have been developed, implemented, and evaluated (Preprint)

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