Decisions required for operating a maternal mortality review committee: the California experience.
Decisions required for operating a maternal mortality review committee: the California experience.
复制标题
运作孕产妇死亡率审查委员会所需的决定：加州的经验。
作者：
E. Main
孕产妇死亡率是产科当前面临的一个重要问题。面临的挑战是如何组织案例审查，以便它们能够形成真实的数据，为质量改进活动提供信息和指导。在这篇文章中，我们描述了一系列的决定，我们已经在加州组织和运行我们的孕产妇死亡率审查委员会。这些包括定义审查的目标、病例的选择、委员会的组成、基本审查问题和用于分析的定义（例如，死亡原因、促成因素、剖宫产的作用、可预防性、确定质量改进机会）。预计每个孕产妇死亡率审查委员会将根据当地资源和病例组合采取不同的方法。
Maternal mortality is a current and important issue for obstetrics. The challenge is to structure case reviews so that they develop real data that can inform and direct quality improvement activities. In this article, we describe a series of decisions we have made in California to organize and run our maternal mortality review committee. These include defining the goal of the reviews, selection of cases, composition of the committee, basic review issues, and the definitions used for analysis (eg, cause of death, contributing factors, role of cesarean delivery, preventability, identifying quality improvement opportunities). It is expected that each maternal mortality review committee will have somewhat different approaches based on local resources and case mix.