Assessing Quality in Obstetrical Care: Development of Standardized Measures
| Autor: | Marlene B. Goldman, Peter E. Nielsen, Susan Mann, Ronald Marcus, Penny Greenberg, Stephen D. Pratt, David Shapiro, Mark D. Pearlman, Benjamin I. Sachs, Paul A. Gluck, Daniel Risser |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
medicine.medical_specialty
Quality management Quality Assurance Health Care Leadership and Management media_common.quotation_subject MEDLINE Severity of Illness Index Outcome (game theory) Pregnancy Severity of illness Health care medicine Humans Obstetrics and Gynecology Department Hospital Adverse effect Quality Indicators Health Care media_common Teamwork business.industry Delivery Obstetric medicine.disease United States Obstetrics Outcome and Process Assessment Health Care Treatment Outcome Emergency medicine Female Medical emergency business Quality assurance |
| Zdroj: | The Joint Commission Journal on Quality and Patient Safety. 32:497-505 |
| ISSN: | 1553-7250 |
| DOI: | 10.1016/s1553-7250(06)32065-x |
| Popis: | Article-at-a-Glance Background No nationally accepted set of quality indicators exists in obstetrics. A set of 10 outcome measures and three quality improvement tools was developed as part of a study evaluating the effects of teamwork on obstetric care in 15 institutions and > 28,000 patients. Each outcome was assigned a severity weighting score. Measures Three new obstetrical quality improvement outcome tools were developed. The Adverse Outcome Index (AOI) is the percent of deliveries with one or more adverse events. The average AOI during the pre-implementation data collection period of the teamwork study was 9.2% (range, 5.9%–16.6%). The Weighted Adverse Outcome Score (WAOS) describes the adverse event score per delivery. It is the sum of the points assigned to cases with adverse outcomes divided by the number of deliveries. The average WAOS for the pre-implementation period was 3 points (range, 1.0–6.0). The Severity Index (SI) describes the severity of the outcomes. It is the sum of the adverse outcome scores divided by the number of deliveries with an identified adverse outcome. The average SI for the pre-implementation period was 31 points (range, 16–49). Discussion The outcome measures and the AOI, WAOS, and SI can be used to benchmark ongoing care within and among organizations. These tools may be useful nationally for determining quality obstetric care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|