Developing a set of consensus indicators to support maternity service quality improvement: using Core Outcome Set methodology including a Delphi process

BJOG : an International Journal of Obstetrics and Gynaecology
K J BunchMarian Knight

Abstract

To develop a core metric set to monitor the quality of maternity care. Delphi process followed by a face-to-face consensus meeting. English maternity units. Three representative expert panels: service designers, providers and users. Maternity care metrics judged important by participants. Participants were asked to complete a two-phase Delphi process, scoring metrics from existing local maternity dashboards. A consensus meeting discussed the results and re-scored the metrics. In all, 125 distinct metrics across six domains were identified from existing dashboards. Following the consensus meeting, 14 metrics met the inclusion criteria for the final core set: smoking rate at booking; rate of birth without intervention; caesarean section delivery rate in Robson group 1 women; caesarean section delivery rate in Robson group 2 women; caesarean section delivery rate in Robson group 5 women; third- and fourth-degree tear rate among women delivering vaginally; rate of postpartum haemorrhage of ≥1500 ml; rate of successful vaginal birth after a single previous caesarean section; smoking rate at delivery; proportion of babies born at term with an Apgar score <7 at 5 minutes; proportion of babies born at term admitted to the neonatal inte...Continue Reading

References

Jun 5, 2007·Birth·Declan DevaneColm OBoyle
Aug 8, 2012·Trials·Paula R WilliamsonPeter Tugwell
Oct 5, 2015·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Michael RobsonFionnuala Byrne
Dec 28, 2016·Pediatrics·Terry AdirimUNKNOWN COMMITTEE ON PRACTICE AND AMBULATORY MANAGEMENT
Apr 20, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·Jmn DuffyUNKNOWN International Collaboration to Harmonise Outcomes in Pre-eclampsia (iHOPE)
Jul 30, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·T SchaapUNKNOWN INOSS

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Citations

Sep 22, 2020·The Lancet Child & Adolescent Health·Rachel HarwoodUNKNOWN PIMS-TS National Consensus Management Study Group
Dec 19, 2020·BJOG : an International Journal of Obstetrics and Gynaecology·J ZeitlinUNKNOWN Euro-Peristat Network
Jul 31, 2021·The Journal of Perinatal & Neonatal Nursing·Cathy L EmeisCatherine Collins-Fulea
Oct 11, 2021·BMC Pregnancy and Childbirth·Marie ÖsterbergMaria Jonsson

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