Quality of care in the management of major obstetric haemorrhage.

Hdl Handle:
http://hdl.handle.net/10147/208003
Title:
Quality of care in the management of major obstetric haemorrhage.
Authors:
Johnson, S N; Khalid, S; Varadkar, S; Fleming, J; Fanning, R; Flynn, C M; Byrne, B
Affiliation:
Coombe Women and Infant's University Hospital, Dolphin's Barn, Dublin 8.
Citation:
Ir Med J. 2011 Apr;104(4):119-21.
Journal:
Irish medical journal
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208003
PubMed ID:
21675096
Abstract:
Substandard care is reported to occur in a large number of cases of major obstetric haemorrhage (MOH). A prospective audit was carried out by a multidisciplinary team at our hospital over a one year period to assess the quality of care (QOC) delivered to women experiencing MOH. MOH was defined according to criteria outlined in the Scottish Audit of Maternal Morbidity (SAMM). 31 cases were identified yielding an incidence of 3.5/1000 deliveries. The predominant causes were uterine atony 11 (35.4%), retained products of conception 6 (19.3%) and placenta praevia/accreta 6 (19.3%). Excellent initial resuscitation and monitoring was noted with a high level of senior staff input. Indicators of QOC compared favourably with the SAMM. Areas for improvement were identified. This pilot study demonstrates the feasibility of detailed prospective data collection in MOH in a busy Dublin obstetric unit with a view to developing a national audit. Standardization of definitions allows for international comparisons.
Language:
eng
MeSH:
Adult; Female; Humans; Postpartum Hemorrhage/etiology/*therapy; Pregnancy; *Quality Assurance, Health Care
ISSN:
0332-3102 (Print); 0332-3102 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorJohnson, S Nen_GB
dc.contributor.authorKhalid, Sen_GB
dc.contributor.authorVaradkar, Sen_GB
dc.contributor.authorFleming, Jen_GB
dc.contributor.authorFanning, Ren_GB
dc.contributor.authorFlynn, C Men_GB
dc.contributor.authorByrne, Ben_GB
dc.date.accessioned2012-02-01T10:57:24Z-
dc.date.available2012-02-01T10:57:24Z-
dc.date.issued2012-02-01T10:57:24Z-
dc.identifier.citationIr Med J. 2011 Apr;104(4):119-21.en_GB
dc.identifier.issn0332-3102 (Print)en_GB
dc.identifier.issn0332-3102 (Linking)en_GB
dc.identifier.pmid21675096en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208003-
dc.description.abstractSubstandard care is reported to occur in a large number of cases of major obstetric haemorrhage (MOH). A prospective audit was carried out by a multidisciplinary team at our hospital over a one year period to assess the quality of care (QOC) delivered to women experiencing MOH. MOH was defined according to criteria outlined in the Scottish Audit of Maternal Morbidity (SAMM). 31 cases were identified yielding an incidence of 3.5/1000 deliveries. The predominant causes were uterine atony 11 (35.4%), retained products of conception 6 (19.3%) and placenta praevia/accreta 6 (19.3%). Excellent initial resuscitation and monitoring was noted with a high level of senior staff input. Indicators of QOC compared favourably with the SAMM. Areas for improvement were identified. This pilot study demonstrates the feasibility of detailed prospective data collection in MOH in a busy Dublin obstetric unit with a view to developing a national audit. Standardization of definitions allows for international comparisons.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHumansen_GB
dc.subject.meshPostpartum Hemorrhage/etiology/*therapyen_GB
dc.subject.meshPregnancyen_GB
dc.subject.mesh*Quality Assurance, Health Careen_GB
dc.titleQuality of care in the management of major obstetric haemorrhage.en_GB
dc.contributor.departmentCoombe Women and Infant's University Hospital, Dolphin's Barn, Dublin 8.en_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinster-

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