Quality Indicators for Continuous Monitoring to Improve Maternal and Infant Health in Maternity Departments: A Modified Delphi Survey of an International Multidisciplinary Panel
Quality Indicators for Continuous Monitoring to Improve Maternal and Infant Health in Maternity Departments: A Modified Delphi Survey of an International Multidisciplinary Panel
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DOI：
10.1371/journal.pone.0060663
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发表时间：
2013-04-05
期刊：
影响因子：
3.7
通讯作者：
Alberti, Corinne
中科院分区：
文献类型：
--
作者：
Boulkedid, Rym;Sibony, Olivier;Alberti, Corinne
目的：使用质量指标来衡量住院产科护理的质量对患者和医疗保健提供者都变得越来越重要。然而，对于哪些措施是最佳的，没有达成共识。我们描述了一个修改后的德尔菲方法，以确定一组指标，不断监测产妇护理的质量由医护人员。方法和主要结果：一个国际法语多学科小组，包括22名妇产科医生，12名助产士，和1名儿科医生评估潜在的指标提取的医学文献检索，使用两轮德尔菲程序，然后由一个物理会议。每位小组成员根据有效性和可行性对每项指标进行评级。在第一轮中，来自5个国家和20个产科单位的35名小组成员评估了26项指标，其中15项与孕妇总体管理有关，3项与从怀孕头三个月开始的妇女管理有关，2项与低风险孕妇管理有关，6项与新生儿管理有关。25项质量指标留到下一步。在第二轮中，27名（27/35：77%）专题小组成员选择了17项指标;其余8项指标在实际会议上进行了讨论。最后一套包括18 indicator.Conclusion：一个多学科小组选择的指标，反映了产科护理的质量。这套指标可用于评估和监测产科护理，目的是提高产科护理质量。
Objective: Measuring the quality of inpatient obstetrical care using quality indicators is becoming increasingly important for both patients and healthcare providers. However, there is no consensus about which measures are optimal. We describe a modified Delphi method to identify a set of indicators for continuously monitoring the quality of maternity care by healthcare professionals.Methodology and Main Findings: An international French-speaking multidisciplinary panel comprising 22 obstetricians-gynaecologists, 12 midwives, and 1 paediatrician assessed potential indicators extracted from a medical literature search, using a two-round Delphi procedure followed by a physical meeting. Each panellist rated each indicator based on validity and feasibility. In the first round, 35 panellists from 5 countries and 20 maternity units evaluated 26 indicators including 15 related to the management of the overall population of pregnant women, 3 to the management of women followed from the first trimester of pregnancy, 2 to the management of low-risk pregnant women, and 6 to the management of neonates. 25 quality indicators were kept for next step. In the second round, 27 (27/35: 77%) panellists selected 17 indicators; the remaining 8 indicators were discussed during a physical meeting. The final set comprised 18 indicators.Conclusion: A multidisciplinary panel selected indicators that reflect the quality of obstetrical care. This set of indicators could be used to assess and monitor obstetrical care, with the goal of improving the quality of care in maternity units.