A Comparison of the Nulliparous-Term-Singleton-Vertex and Society of Maternal-Fetal Medicine Cesarean Birth Metrics Based on Hospital Size
| العنوان: | A Comparison of the Nulliparous-Term-Singleton-Vertex and Society of Maternal-Fetal Medicine Cesarean Birth Metrics Based on Hospital Size |
|---|---|
| المؤلفون: | Barbara Pelletreau, Suzan Walker, Thomas J. Benedetti, Laurence E. Shields, Suzanne Wiesner, Jane Hitti, Herman L. Hedriana |
| المصدر: | Obstetrical & Gynecological Survey. 73:507-509 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | medicine.medical_specialty, Quality management, Obstetrics, business.industry, Process improvement, Obstetrics and Gynecology, General Medicine, Nulliparous term singleton vertex, Maternal-fetal medicine, Birth rate, Cesarean Birth, medicine, Metric (unit), business |
| الوصف: | Objective The purpose of this study was to compare the nulliparous-term-singleton-vertex (NTSV) and the Society of Maternal–Fetal Medicine (SMFM) cesarean birth metrics as tools for quality improvement efforts based on hospital size. Materials and Methods Cesarean birth rates from 275 hospitals from six states were used to evaluate the NTSV metric and 81 hospitals from four states for the SMFM metric. Data were assessed based on delivery volume, their use as an effective tool for ongoing quality improvement programs, and their ability to serve as performance-based payline indicators. Results The average NTSV and SMFM cesarean birth rates were 25.6 and 13.0%, respectively. The number of deliveries included in the NTSV metric was stable across all hospital sizes (33.1–36.2%). With the SMFM metric, there was a progressive decline in the number of deliveries included, 90.0 versus 69.6%, in relatively small to large facilities. Variability was less and precision increased with the SMFM metric, which reduced the number of hospitals that could be incorrectly categorized when using performance-based predefined cesarean birth rate paylines. Conclusion The SMFM metric appears to be better suited as a tool for rapid process improvement programs aimed at reducing cesarean birth rates in low-risk patients. |
| تدمد: | 1533-9866 0029-7828 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::6cffa6e68c489fac7ee4f9d10a53e189 https://doi.org/10.1097/ogx.0000000000000602 |
| رقم الأكسشن: | edsair.doi...........6cffa6e68c489fac7ee4f9d10a53e189 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15339866 00297828 |
|---|