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Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care : A Worked Example from a Multicenter Surveillance Study
Joint Authors
Paiva, Cláudio S.
Costa, Sergio M.
Luz, Adriana G.
Maia Filho, Nelson L.
Lotufo, Fátima A.
Martins, Marília da Glória
Lobato, Gustavo
Costa, Maria Laura
Nascimento, Denis J.
Cordioli, Eduardo
Pacagnella, Rodolfo Carvalho
Haddad, Samira Maerrawi
Peraçoli, Jose C.
Cecatti, Jose Guilherme
Brum, Ione R.
Lima, Antonio C. Barbosa
Quintana, Silvana M.
Souza, Joao Paulo
Amorim, Melania M.
Moreira, Joaquim L.
Rohloff, Roger D.
Schmaltz, Luiza E.
Parpinelli, Mary Angela
Mattar, Rosiane
Moraes Filho, Olímpio B.
Guanabara, Everardo M.
Aquino, Márcia M.
Andreucci, Carla B.
Katz, Leila
Feitosa, Francisco E.
Sousa, Maria Helena
Menezes, Carlos A.
Peret, Frederico A.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-23
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Haddad, Samira Maerrawi& Cecatti, Jose Guilherme& Souza, Joao Paulo& Sousa, Maria Helena& Parpinelli, Mary Angela& Costa, Maria Laura…[et al.]. 2014. Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care : A Worked Example from a Multicenter Surveillance Study. BioMed Research International،Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-514032
Modern Language Association (MLA)
Haddad, Samira Maerrawi…[et al.]. Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care : A Worked Example from a Multicenter Surveillance Study. BioMed Research International No. 2014 (2014), pp.1-10.
https://search.emarefa.net/detail/BIM-514032
American Medical Association (AMA)
Haddad, Samira Maerrawi& Cecatti, Jose Guilherme& Souza, Joao Paulo& Sousa, Maria Helena& Parpinelli, Mary Angela& Costa, Maria Laura…[et al.]. Applying the Maternal Near Miss Approach for the Evaluation of Quality of Obstetric Care : A Worked Example from a Multicenter Surveillance Study. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-10.
https://search.emarefa.net/detail/BIM-514032
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-514032