Induction of labour: a continuous quality improvement and peer review program to improve the quality of care.
نویسندگان
چکیده
This article describes a program developed to improve the process of planned induction of labour and to reduce the rates of inappropriate induction. The setting is a tertiary-care maternity hospital in urban Vancouver, BC, in which 7000 deliveries take place annually. Approximately 65% of these can be considered primary care; the remainder are secondary- or tertiary-level cases. Continuous quality improvement (CQI) methods were used by a multidisciplinary team, which included nursing staff, physicians, health records personnel and a CQI facilitator. Interventions included the development of a new induction-booking process, clear criteria for induction, feedback to caregivers about changes and a peer review system to oversee and maintain improvement. The overall induction rate for the institution decreased, and this change has been maintained.
منابع مشابه
A Review the Role of Midwife-led Care Model in Managing the Costs of Healthy Reproductive Services
Objective: For improving the quality of reproductive health services and providing appropriate health care to mothers to reduce their mortality and morbidity, it requires to apply the effective cost models used in the world. In this regard, the aim of the current study is to critically review the related literature on cost management of healthy reproductive services with the continuous midwifer...
متن کاملPrimary Health Care Quality Improvement Patterns: A Systematic Review Study
Background and Aim: Along with the expansion of health systems, the importance of primary health care as the basis of an efficient health system is more evident and the quality of the provided services at this level becomes more important. In this way, the present study attempts to collect patterns used to improve the quality of primary health care. Materials and Methods: The present study is ...
متن کاملRequired Structures for Family Physician Program for Achieving Service Quality Dimensions in Primary Health Care: a Systematic Review
Background: The Structure of Health System affects quality of care in family physician program. This study aimed to explore the required structures of Family Physician Program for achieving service quality dimensions in Primary Health care through analyzing country experiences. These structures will be useful in achievement of quality health care in family physician system. Methods: In this sy...
متن کاملRequired Structures for Family Physician Program to Achieving Service Quality Dimensions in Primary Health Care: a systematic review
Background and Aim: In recent years, the family physician plan has been implemented as a main strategy of health system in Iran. Therefore, the necessity to reform organizational structure based on experiences of other countries is felt more than before. The aim of this study was to explore required structures of Family Physician Program to achieve service quality dimensions in Primary Health c...
متن کاملEnhanced Recovery After Surgery (ERAS) for Spine Surgery, a Review Article
Despite surgical, medical, technological, and anesthetic improvements, Patients are faced with various consequences and complications after spine surgery. Accelerate Recovery After Surgery (ERAS) programs is a multimodal, multidisciplinary perioperative care approach that seeks to improve the quality of surgery, reduce complications, reduce the length of stay, and ultimately reduce costs. This...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
دوره 163 9 شماره
صفحات -
تاریخ انتشار 2000