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Intrapartum care quality indicators: a systematic approach for achieving consensus

Authors
Journal
European Journal of Obstetrics & Gynecology and Reproductive Biology
0301-2115
Publisher
Elsevier
Volume
166
Issue
1
Identifiers
DOI: 10.1016/j.ejogrb.2012.09.018
Keywords
  • Maternity Care
  • Quality Indicators
  • Clinical Dashboards
  • Patient Safety
Disciplines
  • Design

Abstract

Abstract Objective To identify published maternity intrapartum quality indicators and rationalise them to a core set. Study design Prospective qualitative consensus group exercise. A literature search identified sets of intrapartum quality indicators in the English language. These were rationalised to a shortlist using criteria adapted from ‘The Good Clinical Indicator Guide’. An expert panel from key UK professions and organisations utilised a modified Delphi process to devise a final agreed set of intrapartum quality indicators that are specific, measurable, modifiable and relevant to clinical practice. Each indicator was rated in two rounds of web-based surveys, followed by a final face-to-face meeting of the panel. Results 290 clinical indicators were identified within 96 clinical categories with up to 18 different definitions. After rationalisation, 10 core and 24 additional quality indicators entered the Delphi process. A final panel of 12 indicators was defined. Conclusions By using a simple Delphi process we have defined a set of broad clinical quality indicators that provide a comprehensive coverage of labour and delivery outcomes. We believe that this pragmatic portfolio will be useful for many wishing to develop performance monitoring and maternity dashboard systems.

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