[Patient safety indicators for obstetrics: a Delphi based study]. / Indicateurs sécurité en obstétrique : une étude Delphi.
J Gynecol Obstet Biol Reprod (Paris)
; 39(5): 371-8, 2010 Sep.
Article
em Fr
| MEDLINE
| ID: mdl-20598813
ABSTRACT
OBJECTIVE:
Clinical indicators are increasingly used to assess safety of patient care. In obstetrics, only a few indicators have been validated to date and none is used across specialties. The purpose of this study was to identify and assess for face and content validity a group of safety indicators that could be used by anaesthetists, obstetricians and neonatologists involved in labour and delivery units. MATERIALS ANDMETHODS:
We first conducted a systematic review of the literature to identify potential measures. Indicators were then validated by a panel of 30 experts representing all specialties working in labour and delivery units. We used the Delphi method, an iterative questionnaire-based consensus seeking technique. Experts determined on a 7-point Likert scale (1=most representative/7=less representative) the soundness of each indicator as a measure of safety and their possible association with errors and complications caused by medical management.RESULTS:
We identified 44 potential clinical indicators from the literature. Following the Delphi process, 13 indicators were considered as highly representative of safety during obstetrical care (mean score=2.3). Experts ranked 6 of these indicators as being strongly associated to potential errors and complications.CONCLUSIONS:
We identified and validated for face and content, a group of six clinical indicators to measure potentially preventable iatrogenic complications in labour and delivery units.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gestão da Segurança
/
Assistência ao Paciente
/
Obstetrícia
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
Fr
Revista:
J Gynecol Obstet Biol Reprod (Paris)
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Suíça