Developing a set of consensus indicators to support maternity service quality improvement: Using Core Outcome Set methodology including a Delphi process
<p>Objective: To develop a core metric set to monitor the quality of maternity care</p><p> Design: Delphi process followed by a face-to-face consensus meeting</p><p> Setting: English Maternity units</p><p> Population: Three representative expert pa...
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| Materyal Türü: | Journal article |
| Baskı/Yayın Bilgisi: |
Wiley
2018
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| Özet: | <p>Objective: To develop a core metric set to monitor the quality of maternity care</p><p> Design: Delphi process followed by a face-to-face consensus meeting</p><p> Setting: English Maternity units</p><p> Population: Three representative expert panels: service designers, providers and users</p><p> Main Outcome Measures: Maternity care metrics judged important by participants</p><p> Methods: Participants were asked to complete a two phase Delphi process, scoring metrics from existing local maternity dashboards. A consensus meeting discussed the results and re-scored the metrics</p><p> Results: 125 distinct metrics across six domains were identified from existing dashboards. Following the consensus meeting, 14 metrics met the inclusion criteria for the final core set: • Smoking rate at booking • Rate of birth without intervention • Caesarean section delivery rate in Robson group 1 women • Caesarean section delivery rate in Robson group 2 women • Caesarean section delivery rate in Robson group 5 women • 3rd and 4th degree tear rate among women delivering vaginally • Rate of postpartum haemorrhage of 1500ml or greater • Rate of successful vaginal birth after a single previous caesarean section • Smoking rate at delivery • Proportion of babies born at term with an Apgar score <7 at 5 minutes • Proportion of babies born at term admitted to the neonatal intensive care unit • Proportion of babies readmitted to hospital at <30 days of age • Breastfeeding initiation rate • Breastfeeding rate at 6-8 weeks</p><p> Conclusions: Core outcome set methodology can be used to incorporate the views of key stakeholders in developing a core metric set to monitor the quality of care in maternity units thus enabling improvement</p> |
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