A statewide initiative to reduce inappropriate scheduled births at 360/7-386/7 weeks' gestation

被引：124

作者：

Donovan, Edward F. ^{[2
]}

Lannon, Carole ^{[2
]}

Bailit, Jennifer ^{[3
]}

Rose, Barbara ^{[2
]}

Iams, Jay D. ^{[1
]}

Byczkowski, Terri ^{[2
]}

机构：

[1] Ohio State Univ, Med Ctr, Div Maternal Fetal Med, Coll Med, Columbus, OH 43210 USA

[2] Cincinnati Childrens Med Ctr, Cincinnati, OH USA

[3] MPH MetroHealth Med Ctr, Cleveland, OH USA

来源：

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY | 2010年 / 202卷 / 03期

关键词：

collaborative; quality improvement; scheduled birth; STATISTICAL PROCESS-CONTROL; HEALTH-CARE; CESAREAN DELIVERY; IMPROVEMENT;

D O I：

10.1016/j.ajog.2010.01.044

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

OBJECTIVE: We sought to reduce scheduled births between 36(0/7)-38(6/7) weeks that lack appropriate medical indication. STUDY DESIGN: Twenty Ohio maternity hospitals collected baseline data for 60 days and then selected locally appropriate Institute for Healthcare Improvement Breakthrough Series interventions to reduce the incidence of scheduled births. Deidentified birth data were analyzed centrally. Rates of scheduled births without a documented indication, birth certificate data, and implementation issues were shared regularly among sites. RESULTS: The rate of scheduled births between 36(0/7)-38(6/7) weeks without a documented medical indication declined from 25% to <5% (P < .05) in participating hospitals. Birth certificate data showed inductions without an indication declined from a mean of 13% to 8% (P < .0027). Dating criteria were documented in 99% of charts. CONCLUSION: A statewide quality collaborative was associated with fewer scheduled births lacking a documented medical indication.

引用

页码：243.e1 / 243.e8

页数：8

共 15 条

[1]

[Anonymous], NATL VITAL STAT REPO

[2]

[Anonymous], 2009, Obsetrics Gynecology, V114, P386, DOI [DOI 10.1097/AOG.0B013E3181B48EF5, 10.1097/AOG.0b013e3181b48ef5]

[3] Surgeon General's Conference on the Prevention of Preterm Birth [J].

Ashton, Diane M. ;

Lawrence, Hal C., III ;

Adams, Nelson L., III ;

Fleischman, Alan R. .

OBSTETRICS AND GYNECOLOGY, 2009, 113 (04) :925-930

[4] Statistical process control as a tool for research and healthcare improvement [J].

Benneyan, JC ;

Lloyd, RC ;

Plsek, PE .

QUALITY & SAFETY IN HEALTH CARE, 2003, 12 (06) :458-464

[5] Operator product expansion of Wilson surfaces from M5-branes [J].

Chen, Bin ;

Liu, Chang-Yong ;

Wu, Jun-Bao .

JOURNAL OF HIGH ENERGY PHYSICS, 2008, (01)

[6]

Clark SL., 2009, Am J Obstet Gynecol, V200

[7]

Finison L J, 1993, J Healthc Qual, V15, P9

[8] Labor Induction Process Improvement: A Patient Quality-of-Care Initiative [J].

Fisch, John M. ;

English, Dennis ;

Pedaline, Susan ;

Brooks, Kerri ;

Simhan, Hyagriv N. .

OBSTETRICS AND GYNECOLOGY, 2009, 113 (04) :797-803

[9] Cesarean Delivery Among Women With Low-Risk Pregnancies A Comparison of Birth Certificates and Hospital Discharge Data [J].

Kahn, Emily B. ;

Berg, Cynthia J. ;

Callaghan, William M. .

OBSTETRICS AND GYNECOLOGY, 2009, 113 (01) :33-40

[10] Decreasing Elective Deliveries Before 39 Weeks of Gestation in an Integrated Health Care System [J].

Oshiro, Bryan T. ;

Henry, Erick ;

Wilson, Janie ;

Branch, Ware ;

Varner, Michael W. .

OBSTETRICS AND GYNECOLOGY, 2009, 113 (04) :804-811

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