Applying the maternal near miss approach for the evaluation of quality of obstetric care : a worked example from a multicenter surveillance study
| Autor: | Mary Angela Parpinelli, Rosiane Mattar, Melania Maria Ramos de Amorim, Olímpio Barbosa de Moraes Filho, Gustavo Lobato, Adriana Gomes Luz, Sergio Hofmeister de Almeida Martins Costa, Carla Betina Andreucci, Nelson Lourenço Maia Filho, Eduardo Cordioli, Frederico J. A. Peret, Luiza E. Schmaltz, Leila Katz, Silvana Maria Quintana, Francisco Edson de Lucena Feitosa, Roger D. Rohloff, Márcia Maria Auxiliadora de Aquino, Carlos Augusto Santos de Menezes, Fátima Aparecida Lotufo, Samira M. Haddad, Maria Laura Costa, Rodolfo C. Pacagnella, José Guilherme Cecatti, Marília da Glória Martins, Antonio C. Barbosa Lima, Denis José Nascimento, Ione Rodrigues Brum, Everardo M. Guanabara, Cláudio Sérgio Medeiros Paiva, Joaquim L. Moreira, João Paulo Souza, José Carlos Peraçoli, Maria Helena de Sousa |
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| Přispěvatelé: | Universidade Estadual de Campinas (UNICAMP), Centre for Research on Reproductive Health of Campinas (Cemicamp), Federal University of Amazonas, CISAM, School of Medical Sciences, Federal University of Ceará, Universidade Federal da Bahia (UFBA), Hospital Geral Cesar Cals, Hospital Geral de Fortaleza, Maternidade Odete Valadares, Hospital Materno Infantil, IMIP, Universidade Federal de Pernambuco (UFPE), Federal University of Campina Grande, Federal University of Maranhão, Federal University of Paraná, Federal University of Paraíba, Hospital Maternidade Fernando Magalhães, Federal University of Rio Grande Do sul, Hospital Maternidade Celso Pierro, Instituto Fernandes Figueira, Hospital Israelita Albert Einstein, University of the State of São Paulo, Jundiaí School of Medicine, Universidade de São Paulo (USP), Santa Casa de Limeira, Santa Casa de São Carlos, Maternidade Leonor Mendes de Barros |
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Pediatrics Surveillance study Article Subject media_common.quotation_subject Serviços de saúde materna lcsh:Medicine World Health Organization Medical care General Biochemistry Genetics and Molecular Biology Obstetric care Pregnancy Maternal near miss medicine Humans Quality (business) Maternal Health Services Mortalidade materna media_common General Immunology and Microbiology business.industry lcsh:R General Medicine Benchmarking OBSTETRÍCIA (CUIDADOS QUALIDADE) Complicações na gravidez Pregnancy Complications Standardized mortality ratio Cross-Sectional Studies Maternal Mortality Emergency medicine Maternal Death Female Blood derivatives business Research Article |
| Zdroj: | Repositório Institucional da UFRGS Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP BioMed Research International, Vol 2014 (2014) Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP BioMed Research International |
| Popis: | Made available in DSpace on 2022-04-28T19:01:09Z (GMT). No. of bitstreams: 0 Previous issue date: 2014-01-01 Consiglio Nazionale delle Ricerche Objective. To assess quality of care of women with severe maternal morbidity and to identify associated factors. Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. The expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed. Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase in maternal mortality ratio, the main factors associated with nonadequate performance were geographic difficulty in accessing health services (P < 0.001), delays related to quality of medical care (P = 0.012), absence of blood derivatives (P = 0.013), difficulties of communication between health services (P = 0.004), and any delay during the whole process (P = 0.039). Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. In this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care. Department of Obstetrics and Gynaecology, School of Medical Sciences, University of Campinas (UNICAMP), R. Alexander Fleming 101, P.O. Box 6030 Centre for Research on Reproductive Health of Campinas (Cemicamp), R. Vital Brasil 200 Federal University of Amazonas CISAM, School of Medical Sciences Federal University of Ceará Federal University of Bahia Hospital Geral Cesar Cals Hospital Geral de Fortaleza Maternidade Odete Valadares Hospital Materno Infantil IMIP Federal University of Pernambuco Federal University of Campina Grande Federal University of Maranhão Federal University of Paraná Federal University of Paraíba Hospital Maternidade Fernando Magalhães Federal University of Rio Grande Do sul Hospital Maternidade Celso Pierro Instituto Fernandes Figueira Hospital Israelita Albert Einstein University of the State of São Paulo Jundiaí School of Medicine University of São Paulo Santa Casa de Limeira Santa Casa de São Carlos Maternidade Leonor Mendes de Barros Federal University of São Paulo Consiglio Nazionale delle Ricerche: 402702/2008-5 |
| Databáze: | OpenAIRE |
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