Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran
INTRODUCTION: Investigating severe maternal morbidity and near-miss cases are applied internationally as a new indicator to examine the quality of maternal care and as an effective strategy to reduce maternal mortality. This study aimed to determine the root causes of severe maternal morbidity in or...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Education and Health Promotion |
| Subjects: | |
| Online Access: | http://www.jehp.net/article.asp?issn=2277-9531;year=2020;volume=9;issue=1;spage=145;epage=145;aulast= |
| _version_ | 1819091695934898176 |
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| author | Sepideh Zhali Shahnaz Kohan Azar Danesh Shahraki Marjan Beigi |
| author_facet | Sepideh Zhali Shahnaz Kohan Azar Danesh Shahraki Marjan Beigi |
| author_sort | Sepideh Zhali |
| collection | DOAJ |
| description | INTRODUCTION: Investigating severe maternal morbidity and near-miss cases are applied internationally as a new indicator to examine the quality of maternal care and as an effective strategy to reduce maternal mortality. This study aimed to determine the root causes of severe maternal morbidity in order to improve maternal health.
MATERIALS AND METHODS: The present research is a descriptive case series study. The data was obtained from the hospital and health records of mothers admitted to hospitals affiliated to Isfahan University of Medical Sciences due to severe morbidity in the first 6 months of 2018, which were selected randomly. The data collection was completed by interviews with the mentioned mothers and 14 related health-care staffs and that led to the development of the morbidity story. The compiled story of each case was evaluated by the root analysis team's opinion. Causes of morbidity were determined according to a root cause analysis checklist composing of factors such as health-care services (human and structural factors), family-social status, and disease status of maternal morbidity.
RESULTS: The findings indicated that human factors related to the health system led to severe maternal morbidity more than any cause. Inadequate knowledge and skills of service providers, disregard for guidelines and protocols, lack of teamworking, and lack of considering competency were the most important human factors. Disease condition, family, and social status were the other related factors, respectively.
CONCLUSION: Human factors are the most important cause of maternal morbidity based on the results of this study. Therefore, modifying the health structure can be one of the most important reducing factors for maternal mortality in order to improve the services for these individuals. |
| first_indexed | 2024-12-21T22:43:49Z |
| format | Article |
| id | doaj.art-0206b6df3f49407cbe720ced93cce11e |
| institution | Directory Open Access Journal |
| issn | 2277-9531 |
| language | English |
| last_indexed | 2024-12-21T22:43:49Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Education and Health Promotion |
| spelling | doaj.art-0206b6df3f49407cbe720ced93cce11e2022-12-21T18:47:46ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312020-01-019114514510.4103/jehp.jehp_769_19Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, IranSepideh ZhaliShahnaz KohanAzar Danesh ShahrakiMarjan BeigiINTRODUCTION: Investigating severe maternal morbidity and near-miss cases are applied internationally as a new indicator to examine the quality of maternal care and as an effective strategy to reduce maternal mortality. This study aimed to determine the root causes of severe maternal morbidity in order to improve maternal health. MATERIALS AND METHODS: The present research is a descriptive case series study. The data was obtained from the hospital and health records of mothers admitted to hospitals affiliated to Isfahan University of Medical Sciences due to severe morbidity in the first 6 months of 2018, which were selected randomly. The data collection was completed by interviews with the mentioned mothers and 14 related health-care staffs and that led to the development of the morbidity story. The compiled story of each case was evaluated by the root analysis team's opinion. Causes of morbidity were determined according to a root cause analysis checklist composing of factors such as health-care services (human and structural factors), family-social status, and disease status of maternal morbidity. RESULTS: The findings indicated that human factors related to the health system led to severe maternal morbidity more than any cause. Inadequate knowledge and skills of service providers, disregard for guidelines and protocols, lack of teamworking, and lack of considering competency were the most important human factors. Disease condition, family, and social status were the other related factors, respectively. CONCLUSION: Human factors are the most important cause of maternal morbidity based on the results of this study. Therefore, modifying the health structure can be one of the most important reducing factors for maternal mortality in order to improve the services for these individuals.http://www.jehp.net/article.asp?issn=2277-9531;year=2020;volume=9;issue=1;spage=145;epage=145;aulast=iranmaternal near-missroot cause analysissevere maternal morbidity |
| spellingShingle | Sepideh Zhali Shahnaz Kohan Azar Danesh Shahraki Marjan Beigi Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran Journal of Education and Health Promotion iran maternal near-miss root cause analysis severe maternal morbidity |
| title | Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran |
| title_full | Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran |
| title_fullStr | Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran |
| title_full_unstemmed | Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran |
| title_short | Maternal health improvement through root cause analysis of severe maternal morbidity (maternal near miss) in Isfahan, Iran |
| title_sort | maternal health improvement through root cause analysis of severe maternal morbidity maternal near miss in isfahan iran |
| topic | iran maternal near-miss root cause analysis severe maternal morbidity |
| url | http://www.jehp.net/article.asp?issn=2277-9531;year=2020;volume=9;issue=1;spage=145;epage=145;aulast= |
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