The use of quality control performance charts to analyze cesarean delivery rates nationally.

Hdl Handle:
http://hdl.handle.net/10147/208037
Title:
The use of quality control performance charts to analyze cesarean delivery rates nationally.
Authors:
Turner, Michael J
Affiliation:
University College Dublin Centre for Human Reproduction, Coombe Women and Infants, University Hospital, Dublin, Ireland. michael.turner@ucd.ie
Citation:
Int J Gynaecol Obstet. 2011 Jun;113(3):175-7. Epub 2011 Apr 11.
Journal:
International journal of gynaecology and obstetrics: the official organ of the, International Federation of Gynaecology and Obstetrics
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208037
DOI:
10.1016/j.ijgo.2011.01.012
PubMed ID:
21481388
Abstract:
OBJECTIVE: To examine the use of quality control performance charts to analyze cesarean rates nationally. METHODS: Information on cesarean rates was obtained for all 19 Irish maternity hospitals receiving state funding in 2009. All women who underwent cesarean delivery of a live or stillborn infant weighing 500 g or more between January 1 and December 31 were included. Deliveries were classified as elective or emergency. Individual hospitals were not identified in the analysis. RESULTS: The mean rates per hospital of elective and emergency cesarean were 12.9+/-2.6% (n=9337) and 13.8+/-3.0% (n=9989), respectively-giving an overall mean rate of 26.7+/-4.2% (n=19326) per hospital. Cesarean rates were normally distributed. Using a quality control performance chart with a cutoff 2 standard deviations from the mean, 1 hospital was above the normal range for both total and elective cesareans, indicating that its pre-labor obstetric practices warrant clinical review. Another hospital had a mean emergency cesarean rate above the normal range, indicating that its labor ward practices warrant review. CONCLUSION: Quality control performance charts can be used to analyze cesarean rates nationally and, thus, to identify hospitals at which obstetric practices should be reviewed.
Language:
eng
MeSH:
Cesarean Section/standards/*statistics & numerical data; Female; Hospitals/statistics & numerical data; Humans; Ireland; Pregnancy; Quality Assurance, Health Care/*methods; Quality Control; *Quality Indicators, Health Care
ISSN:
1879-3479 (Electronic); 0020-7292 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorTurner, Michael Jen_GB
dc.date.accessioned2012-02-01T10:58:24Z-
dc.date.available2012-02-01T10:58:24Z-
dc.date.issued2012-02-01T10:58:24Z-
dc.identifier.citationInt J Gynaecol Obstet. 2011 Jun;113(3):175-7. Epub 2011 Apr 11.en_GB
dc.identifier.issn1879-3479 (Electronic)en_GB
dc.identifier.issn0020-7292 (Linking)en_GB
dc.identifier.pmid21481388en_GB
dc.identifier.doi10.1016/j.ijgo.2011.01.012en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208037-
dc.description.abstractOBJECTIVE: To examine the use of quality control performance charts to analyze cesarean rates nationally. METHODS: Information on cesarean rates was obtained for all 19 Irish maternity hospitals receiving state funding in 2009. All women who underwent cesarean delivery of a live or stillborn infant weighing 500 g or more between January 1 and December 31 were included. Deliveries were classified as elective or emergency. Individual hospitals were not identified in the analysis. RESULTS: The mean rates per hospital of elective and emergency cesarean were 12.9+/-2.6% (n=9337) and 13.8+/-3.0% (n=9989), respectively-giving an overall mean rate of 26.7+/-4.2% (n=19326) per hospital. Cesarean rates were normally distributed. Using a quality control performance chart with a cutoff 2 standard deviations from the mean, 1 hospital was above the normal range for both total and elective cesareans, indicating that its pre-labor obstetric practices warrant clinical review. Another hospital had a mean emergency cesarean rate above the normal range, indicating that its labor ward practices warrant review. CONCLUSION: Quality control performance charts can be used to analyze cesarean rates nationally and, thus, to identify hospitals at which obstetric practices should be reviewed.en_GB
dc.language.isoengen_GB
dc.subject.meshCesarean Section/standards/*statistics & numerical dataen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHospitals/statistics & numerical dataen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshPregnancyen_GB
dc.subject.meshQuality Assurance, Health Care/*methodsen_GB
dc.subject.meshQuality Controlen_GB
dc.subject.mesh*Quality Indicators, Health Careen_GB
dc.titleThe use of quality control performance charts to analyze cesarean delivery rates nationally.en_GB
dc.contributor.departmentUniversity College Dublin Centre for Human Reproduction, Coombe Women and Infants, University Hospital, Dublin, Ireland. michael.turner@ucd.ieen_GB
dc.identifier.journalInternational journal of gynaecology and obstetrics: the official organ of the, International Federation of Gynaecology and Obstetricsen_GB
dc.description.provinceLeinster-

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