Optimizing accuracy of birth certificate data through a statewide quality improvement initiative in Illinois.

Autor: Lee King PA; Center for Healthcare Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. patricia.king@northwestern.edu.; Obstetrics and Gynecology, University of Chicago Pritzker School of Medicine, Chicago, IL, USA. patricia.king@northwestern.edu., Finnegan K; Maternal-Fetal Medicine, NorthShore University HealthSystem, Evanston, IL, USA., Schneider P; Maternal-Fetal Medicine, The Ohio State University Wexner Medical Center, Columbus, OH, USA., Oh EH; Center for Healthcare Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Lee S; Center for Healthcare Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA., Bennett A; Illinois Department of Public Health, Office of Women's Health and Family Services, Chicago, IL, USA., Borders A; Center for Healthcare Services and Outcomes Research, Institute for Public Health and Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.; Obstetrics and Gynecology, University of Chicago Pritzker School of Medicine, Chicago, IL, USA.; Maternal-Fetal Medicine, NorthShore University HealthSystem, Evanston, IL, USA.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2023 Nov; Vol. 43 (11), pp. 1440-1445. Date of Electronic Publication: 2023 Oct 02.
DOI: 10.1038/s41372-023-01788-0
Abstrakt: Objective: This study examines improvement in birth certificate accuracy during a statewide quality improvement initiative.
Study Design: Participating hospitals systematically sampled 10 delivery medical records per month and compared them to corresponding birth certificates for accuracy. Accuracy was computed before implementing the initiative (Aug-Oct 2014), end of phase 1 (July 2015) and end of phase 2 (Nov-Dec 2015). Accuracy data was aggregated and compared across time points using a linear mixed model and by hospital characteristics.
Results: 105 hospitals participated. Birth certificate accuracy increased between baseline (89.59%) and end of phase 2 (97.00%, p < 0.001). Percent accuracy at baseline was lowest in hospitals serving at-risk populations (p < 0.01). These hospitals showed relatively greater increases in overall accuracy with no difference in accuracy by the end of the initiative.
Conclusions: A statewide QI effort contributed to improvements in birth certificate accuracy. Hospitals serving at-risk populations exhibited the greatest benefit and improvement.
(© 2023. The Author(s), under exclusive licence to Springer Nature America, Inc.)
Databáze: MEDLINE
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