The Swedish Pregnancy Register - for quality of care improvement and research
The Swedish Pregnancy Register - for quality of care improvement and research
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DOI：
10.1111/aogs.13266
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发表时间：
2018-04-01
影响因子：
4.3
通讯作者：
Wikstrom, Anna-Karin
中科院分区：
文献类型：
--
作者：
Stephansson, Olof;Petersson, Kerstin;Wikstrom, Anna-Karin
Introduction本研究的目的是介绍瑞典妊娠登记和探讨地区差异的孕产妇特征，产前保健，妊娠早期联合筛查和分娩结局在Sweden.Material和方法妊娠登记（）收集数据的妊娠和分娩，开始于第一次访问产前保健和结束于后续访问的产前保健，这通常发生在产后8 - 16周左右。大部分数据直接从电子病历中收集。该登记册包括人口，生殖和孕产妇健康数据，以及产前诊断信息，以及母亲和新生儿的妊娠结局。ResultsToday the Register covered over 90%以上的所有分娩在瑞典，其目标是包括所有分娩在2018年。护理提供者可以通过创建汇总报告或使用真实的实时病例组合调整后的仪表板，将质量指标随时间推移可视化，并将结果与其他诊所进行区域和国家比较。详细的数据可以在伦理批准后提取进行研究。在这份报告中，我们显示了区域差异，患者的特点，产前护理，胎儿诊断和交付outcomes in Sweden.ConclusionsOur报告表明，在瑞典的产前和分娩护理质量各不相同的地区之间，这值得进一步采取行动。瑞典怀孕登记册是一个新的和宝贵的资源基准，质量改进和研究怀孕，胎儿诊断和分娩。
IntroductionThe objective of this study was to present the Swedish Pregnancy Register andto explore regional differences in maternal characteristics, antenatal care,first trimester combined screening and delivery outcomes in Sweden.Material and methodsThe Pregnancy Register () collects data on pregnancy and childbirth, starting at the first visit to antenatal care and ending at the follow-up visit to the antenatal care, which usually occurs at around 8-16weeks postpartum. The majority of data is collected directly from the electronic medical records. The Register includes demographic, reproductive and maternal health data, as well information on prenatal diagnostics, and pregnancy outcome for the mother and the newborn.ResultsToday the Register covers more than 90% of all deliveries in Sweden, with the aim to include all deliveries within 2018. The care providers can visualize quality measures over time and compare results with other clinics, regionally and nationally by creating reports on an aggregated level or using case-mix adjusted Dash Boards in real time. Detailed data can be extracted after ethical approval for research. In this report, we showed regional differences in patient characteristics, antenatal care, fetal diagnosis and delivery outcomes in Sweden.ConclusionsOur report indicates that quality in antenatal and delivery care in Sweden varies between regions, which warrants further actions. The Swedish Pregnancy Register is a new and valuable resource for benchmarking, quality improvement and research in pregnancy, fetal diagnosis and delivery.