Quality Indicators during Delivery and the Immediate Postpartum Period: A Modified Delphi Study
| Autor: | Candy Guiguet-Auclair, Olivier Rivière, Laurent Gerbaud, Françoise Vendittelli |
|---|---|
| Přispěvatelé: | Institut Pascal (IP), Centre National de la Recherche Scientifique (CNRS)-Université Clermont Auvergne (UCA)-Institut national polytechnique Clermont Auvergne (INP Clermont Auvergne), Université Clermont Auvergne (UCA)-Université Clermont Auvergne (UCA), Pôle Santé Publique [CHU Clermont-Ferrand], CHU Gabriel Montpied [Clermont-Ferrand], CHU Clermont-Ferrand-CHU Clermont-Ferrand, Université Claude Bernard Lyon 1 (UCBL), Université de Lyon, Réseau de Santé en Périnatalité d'Auvergne (RSPA), Direction de la recherche clinique et de l’innovation [CHU Clermont-Ferrand] (DRCI), CHU Clermont-Ferrand |
| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: |
consensus
Delphi study maternity care perinatal health quality indicators Health Information Management Leadership and Management Health Policy Health Informatics [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie [SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics |
| Zdroj: | Healthcare Healthcare, 2023, 11 (6), pp.848. ⟨10.3390/healthcare11060848⟩ Healthcare; Volume 11; Issue 6; Pages: 848 |
| ISSN: | 2227-9032 |
| DOI: | 10.3390/healthcare11060848⟩ |
| Popis: | International audience; Background: Our research hypothesis was that most French indicators of quality of care have been validated by experts who are not clinicians and might not always be meaningful for clinicians. Our objective was to define a core set of measurable indicators of care quality during delivery and the immediate postpartum period relevant to clinical practice. Methods: A steering committee comprising nine specialists in obstetrics and/or public health conducted a literature review to develop potential indicators. A panel of obstetrician-gynecologists and midwives working in a delivery unit rated each indicator for appropriateness in a two-round Rand-modified Delphi procedure and a physical meeting. The consensus among the panelists was assessed. Results: In the first round, 145 panelists (110 obstetrician-gynecologists and 35 midwives) assessed 77 indicators and 3 definitions: 6 related to labor onset, 20 to delivery, 3 to pain management, 23 to neonatal morbidity/mortality, and 28 to maternal morbidity. In the second round, 132 panelists (98 obstetriciangynecologists and 34 midwives) assessed 42 indicators and 1 definition. The final set comprised 50 indicators and 2 definitions. Conclusions: This Delphi procedure selected 50 indicators that reflect the quality of perinatal care. These indicators should be recorded in each French maternity ward's birth register for each delivery. |
| Databáze: | OpenAIRE |
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