Improving maternal care with a continuous quality improvement strategy: a report from the Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network.
Improving maternal care with a continuous quality improvement strategy: a report from the Interventions to Minimize Preterm and Low Birth Weight Infants through Continuous Improvement Techniques (IMPLICIT) Network.
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通过持续的质量改进策略改善孕产妇护理：通过持续改进技术（隐式）网络从干预措施中的报告，以最大程度地减少早产和低出生体重的婴儿。
DOI：
10.3122/jabfm.2009.04.090111
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发表时间：
2009-07
期刊：
影响因子：
--
通讯作者：
Ratcliffe S
中科院分区：
文献类型：
--
作者：
Bennett IM;Coco A;Anderson J;Horst M;Gambler AS;Barr WB;Ratcliffe S
Maternal medical care (prenatal and postpartum) involves a set of clinical interventions addressing risk factors associated with important maternal and infant outcomes. Programs to increase the rate of delivery of these interventions in clinical practice have not been widely implemented. A practice based research network (PBRN) focused on developing continuous quality improvement (CQI) processes for maternal care among 10 Family Medicine Residency Training sites in the Northeast region of the US (the IMPLICIT Network) from January 2003-September 2007. Documented delivery of five standard maternal care interventions was assessed before and after initiating a program to increase their frequency. P chart analyses was carried out comparing the period preceding and following implementation of the CQI interventions. Data were available for 3,936 pregnancies over the course of the study period. Results varied across the clinical interventions. Significant improvement in care processes was seen for three screening activities: prenatal depression symptomatology (by 15 weeks gestation), screening for smoking at 30 weeks gestation, and postpartum contraception planning. Screening for smoking by 15 weeks gestation and testing for asymptomatic bacteriuria were already carried out >90% of the time in the baseline period and did not increase significantly after initiating the CQI program. Screening for postpartum depression symptomatology was recorded in 50-60% of women prior to the CQI program and did not increase significantly. A practice based research network of family medicine residency practices focused on CQI outcomes was successful in increasing the delivery of some maternal care interventions.
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DOI：
10.1016/s1070-3241(16)30238-3
发表时间：
1996-05-01
期刊：
JOINT COMMISSION JOURNAL ON QUALITY IMPROVEMENT
影响因子：
--
作者：
Anctil, B;Winters, M
通讯作者：
Winters, M
DOI：
10.3122/jabfm.2008.04.080048
发表时间：
2008-07-01
影响因子：
2.9
作者：
Bennett, Ian M.;Coco, Andrew;Ratcliffe, Stephen
通讯作者：
Ratcliffe, Stephen
DOI：
10.1080/713605924
发表时间：
2003-06-01
期刊：
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
影响因子：
--
作者：
Lu, M C;Tache, V;Halfon, N
通讯作者：
Halfon, N
影响因子：
120.7
作者：
Kiefe, CI;Allison, JJ;Weissman, NW
通讯作者：
Weissman, NW
影响因子：
39.2
作者：
Ornstein, S;Jenkins, RG;Litvin, C
通讯作者：
Litvin, C