Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Archives of Gynecology and Obstetrics
Erschienen in: Archives of Gynecology and Obstetrics 5/2014

01.05.2014 | Maternal-Fetal Medicine

Improving patient safety by detecting obstetric care-related adverse events: application of a new screening guide

verfasst von: L. Aibar, M. J. Rabanaque, J. Mozas, A. Puertas, J. M. Aranaz, C. Aibar

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 5/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Determining the magnitude and importance of patient safety-related incidents and the effectiveness of measures to improve patient safety (PS) are high-priority goals in efforts to improve the quality of obstetric care. The aim of this study was to evaluate the usefulness of the MRF1-OBST screening guide in detecting adverse events in women who received obstetric care.

Methods

This retrospective cohort study included 244 women who were hospitalized for delivery. All medical records were reviewed with the MRF1-OBST screening guide to identify adverse events and incidents. This tool is a modified form of the MRF1 screening guide regularly used in epidemiological studies of PS, to which we added items developed specifically for obstetric care. We calculated the positive predictive value and compared the ability of the MRF1 and MRF1-OBST guides to detect incidents related to PS in Obstetrics.

Results

The MRF1-OBST guide did not identify any additional complications during hospitalization or incidents related to PS that were not also identified by the MRF1 guide.

Conclusions

The MRF1-OBST guide did not improve the detection of obstetric AE. The modified version of the guide required more work to use as a screening aid than the original MRF1 instrument. Efforts to improve the detection of incidents related to PS in obstetrics require complementary tools to be developed for information analysis.
Literatur
1.
2.
Kohn L, Corrigan JM, Donaldson MS (eds) (1999) To err is human; building a safer health system. National Academy Press, Washington, DC
3.
Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG et al (1991) Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. New Engl J Med 324:70–76CrossRef
4.
Thomas EJ, Studdert DM, Burstin HR, Orav EJ, Zeena T, Williams EJ et al (2000) Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care 38:261–271PubMedCrossRef
5.
Wilson RM, Runciman WB, Gibberd RW, Harrisson BT, Newby L, Hamilton JD et al (1995) The quality in Australian health care study. Med J Aust 163:458–471PubMed
6.
7.
Schioler T, Lipczak H, Pedersen BL, Mogensen TS, Bech KB, Stockmarr A et al (2001) Incidence of adverse events in hospitals. A retrospective study of medical records. Ugeskr Laeger 163:5370–5378PubMed
8.
Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J et al (2004) The Canadian adverse events study: the incidence of adverse events among hospital patients in Canada. CMAJ 170:1678–1686PubMedCentralPubMedCrossRef
9.
Michel P, Minodier C, Lathelize M, Moty-Monnereau C, Domecq S, Chaleix M et al (2010) Les événements indésirables graves associés aux soins observés dans les établissements de santé Résultats des enquêtes nationales menées en 2009 et 2004. Dossiers Solidarité et Santé 17:1–18
10.
Michel P, Quenon JL, Djihoud A, Tricaud-Vialle S, Sarasqueta AM (2007) French national survey of inpatient adverse events prospectively assessed with ward staff. Qual Saf Health Care 16:369–377PubMedCentralPubMedCrossRef
11.
Zegers M, de Bruijne MC, Wagner C, Hoonhout LH, Waaijman R, Smits M et al (2009) Adverse events and potentially preventable deaths in Dutch hospitals: results of a retrospective patient record review study. Qual Saf Health Care 18:297–302PubMedCrossRef
12.
Soop M, Fryksmark U, Koster M, Haglund B (2009) The incidence of adverse events in Swedish hospitals: a retrospective medical record review study. Int J Qual Health Care 21:285–291PubMedCentralPubMedCrossRef
13.
Mendes W, Martins M, Rozenfeld, Travassos C (2009) The assessment of adverse events in hospitals in Brazil. Int J Qual Health Care 21:279–284PubMedCrossRef
14.
Aranaz-Andres JM, Aibar-Remón C, Limón-Ramírez R, Amarilla A, Restrepo FR, Urroz O et al (2011) Prevalence of adverse events in the hospitals of five Latin American countries: results of the Iberoamerican study of adverse events (IBEAS). BMJ Qual Saf 20:1043–1051PubMedCrossRef
15.
16.
Aranaz JM, Aibar C, Vitaller J, Ruiz P, Limón R, Terol E, the ENEAS work group (2008) Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. J Epidemiol Commun Health 62:1022–1029CrossRef
17.
Gambone JC, Reiter RC (2008) Elements of a successful quality improvement and patient safety program in obstetrics and gynecology. Obstec Gynecol Clin N Am 35:129–145CrossRef
18.
Guise JM (2007) Anticipating and responding to obstetric emergencies. Best Pract Res Clin Obstet Gynaecol 21:625–638PubMedCrossRef
19.
King’s Fund (2008) Safe births: Everybody’s business. An independent inquiry into the safety of maternity services in England. In: Walker I, Grise E (ed) London
20.
Padilla M, Álvarez E, Aranaz J, Jiménez A, García JA (2005) Efectos adversos relacionados con la asistencia sanitaria en ginecología y obstetricia, una revisión crítica. Rev Calidad Asist 20:90–99CrossRef
21.
Salgado A, Maceira M, López M, Atienza G (2010) Variabilidad del parto en España. Análisis del conjunto mínimo básico de datos al alta hospitalaria. Prog Obstet Ginecol 53:215–222CrossRef
22.
23.
Johnson CE, Handberg E, Dobalian A, Gurol N, Pearson V (2005) Improving perinatal and neonatal patient safety: the AHRQ patient safety indicators. J Perinat Neonatal Nurs 19:15–23PubMedCrossRef
24.
McLoughlin V, Millar J, Mattke S, Franca M, Jonsson PM, Somek D, Bates D (2006) Selecting indicators for patient safety at the health system level in OECD countries. Int J Qual Health Care 18:14–20PubMedCrossRef
25.
Simpson JR (2005) Failure to rescue in obstetrics. MCN Am J Matern Child Nurs 30:76PubMed
26.
Nielsen M, Mann S (2008) Team function in obstetrics to reduce errors and improve outcomes. Obstet Gynecol Clin N Am 35:81–95CrossRef
27.
28.
29.
Foster AJ, Fung I, Caughey S, Oppenheimer L, Beach C, Shojania KG, Van Walraven C (2006) Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol 108:1073–1083CrossRef
30.
Florea A, Caughey S, Westland J, Berckmans M, Kennelly C, Beach C et al (2010) The Ottawa hospital quality incident notification system for capturing adverse events in obstetrics. J Obstet Gynaecol Can 32:657–662PubMed
31.
Pettker CM, Thung SF, Norwitz ER, Buhimshi C, Raab C, Copel J et al (2009) Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol 200:1–8CrossRef
32.
Pronovost PJ, Goeschel CA, Marsteller JA, Sexton JB, Pham JC, Berenholtz SM (2009) Framework for patient safety research and improvement. Circulation 119:330–337PubMedCrossRef
33.
ACOG Committee Opinion No. 447 (2009) Patient safety in obstetrics and gynecology. Obstet Gynecol 114:1424–7
34.
Haynes AB, Weiser TG, Berry WR, Lipsitz SR, Breizat AH, Dellinger EP et al (2009) A surgical safety checklist to reduce morbidity and mortality in a global population. Safe Surgery Saves Lives Study Group. NEJM 360:491–499PubMedCrossRef
35.
Daniel LK, Simpson EK (2009) Integrating team training strategies into obstetrical emergency simulation training. J Heatlhcare Qual 31:38–42CrossRef
36.
Mérien EAR, van de Ven J, Mol BW, Houterman S, Oei SG (2010) Multidisciplinary team training in a simulation setting for acute obstetric emergencies. A systematic review. Obstet Gynecol 115:1021–1031PubMedCrossRef
37.
Metadaten
Titel
Improving patient safety by detecting obstetric care-related adverse events: application of a new screening guide
verfasst von
L. Aibar
M. J. Rabanaque
J. Mozas
A. Puertas
J. M. Aranaz
C. Aibar
Publikationsdatum
01.05.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Archives of Gynecology and Obstetrics / Ausgabe 5/2014
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-013-3077-4

Weitere Artikel der Ausgabe 5/2014

Archives of Gynecology and Obstetrics 5/2014 Zur Ausgabe

Maternal-Fetal Medicine

The role of adding metformin in insulin-resistant diabetic pregnant women: a randomized controlled trial

Reply

Answer to: Letter to the Editor titled is telemedicine a worldwide trend?

Review

Primary malignant melanoma of the urethra: a systematic analysis of the current literature

General Gynecology

Advanced utero-vaginal prolapse and vaginal vault suspension: synthetic mesh vs native tissue repair

Letter to the Editor

Is telemedicine a worldwide trend?

Maternal-Fetal Medicine

Advanced dynamic Doppler flow of the pulmonary artery in a normal population: reference values from 18 to 41 weeks of gestation calculated by automatic Doppler waveform analysis

Neu im Fachgebiet Gynäkologie und Geburtshilfe

Ambulantisierung: Erste Erfahrungen mit dem Hybrid-DRG

02.05.2024 DCK 2024 Kongressbericht

Die Hybrid-DRG-Verordnung soll dazu führen, dass mehr chirurgische Eingriffe ambulant durchgeführt werden, wie es in anderen Ländern schon länger üblich ist. Die gleiche Vergütung im ambulanten und stationären Sektor hatten Niedergelassene schon lange gefordert. Aber die Umsetzung bereitet ihnen doch Kopfzerbrechen.

Sind Frauen die fähigeren Ärzte?

30.04.2024 Gendermedizin Nachrichten

Patienten, die von Ärztinnen behandelt werden, dürfen offenbar auf bessere Therapieergebnisse hoffen als Patienten von Ärzten. Besonders gilt das offenbar für weibliche Kranke, wie eine Studie zeigt.

Harninkontinenz: Netz-Op. erfordert über lange Zeit intensive Nachsorge

30.04.2024 Harninkontinenz Nachrichten

Frauen mit Belastungsinkontinenz oder Organprolaps sind nach einer Netz-Operation keineswegs beschwerdefrei. Vielmehr scheint die Krankheitslast weiterhin hoch zu sein, sogar höher als von harninkontinenten Frauen, die sich nicht haben operieren lassen.

Welche Übungen helfen gegen Diastase recti abdominis?

30.04.2024 Schwangerenvorsorge Nachrichten

Die Autorinnen und Autoren einer aktuellen Studie aus Griechenland sind sich einig, dass Bewegungstherapie, einschließlich Übungen zur Stärkung der Bauchmuskulatur und zur Stabilisierung des Rumpfes, eine Diastase recti abdominis postpartum wirksam reduzieren kann. Doch vieles ist noch nicht eindeutig belegt.

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen
Bildnachweise