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The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands
At present, there are no guidelines on prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands. The first step towards implementing guidelines is the development of a set of quality indicators for prevention and management of postpartum haemorrhage for primar...
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| Published in: | BMC pregnancy and childbirth 2013-10, Vol.13 (1), p.194-7 pages, Article 194 |
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| container_end_page | 7 pages |
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| container_title | BMC pregnancy and childbirth |
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| creator | Smit, Marrit Sindram, Susanne I C Woiski, Mallory Middeldorp, Johanna M van Roosmalen, Jos |
| description | At present, there are no guidelines on prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands. The first step towards implementing guidelines is the development of a set of quality indicators for prevention and management of postpartum haemorrhage for primary midwifery supervised (home) birth in the Netherlands.
A RAND modified Delphi procedure was applied. This method consists of five steps: (1) composing an expert panel (2) literature research and collection of possible quality indicators, (3) digital questionnaire, (4) consensus meeting and (5) critical evaluation. A multidisciplinary expert panel consisting of five midwives, seven obstetricians and an ambulance paramedic was assembled after applying pre-specified criteria concerning expertise in various domains relating to primary midwifery care, secondary obstetric care, emergency transportation, maternal morbidity or mortality audit, quality indicator development or clinical guidelines development and representatives of professional organisations.
After literature review, 79 recommendations were selected for assessment by the expert panel. After a digital questionnaire to the expert panel seven indicators were added, resulting in 86 possible indicators. After excluding 41 indicators that panel members unanimously found invalid, 45 possible indicators were assessed at the consensus meeting. During critical evaluation 18 potential indicators were found to be overlapping and two were discarded due to lack of measurability.
A set of 25 quality indicators was considered valid for testing in practice. |
| doi_str_mv | 10.1186/1471-2393-13-194 |
| format | article |
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A RAND modified Delphi procedure was applied. This method consists of five steps: (1) composing an expert panel (2) literature research and collection of possible quality indicators, (3) digital questionnaire, (4) consensus meeting and (5) critical evaluation. A multidisciplinary expert panel consisting of five midwives, seven obstetricians and an ambulance paramedic was assembled after applying pre-specified criteria concerning expertise in various domains relating to primary midwifery care, secondary obstetric care, emergency transportation, maternal morbidity or mortality audit, quality indicator development or clinical guidelines development and representatives of professional organisations.
After literature review, 79 recommendations were selected for assessment by the expert panel. After a digital questionnaire to the expert panel seven indicators were added, resulting in 86 possible indicators. After excluding 41 indicators that panel members unanimously found invalid, 45 possible indicators were assessed at the consensus meeting. During critical evaluation 18 potential indicators were found to be overlapping and two were discarded due to lack of measurability.
A set of 25 quality indicators was considered valid for testing in practice.</description><identifier>ISSN: 1471-2393</identifier><identifier>EISSN: 1471-2393</identifier><identifier>DOI: 10.1186/1471-2393-13-194</identifier><identifier>PMID: 24139411</identifier><language>eng</language><publisher>England: BioMed Central</publisher><subject>Childbirth & labor ; Delphi method ; Delphi Technique ; Female ; Hemorrhage ; Home births ; Home Childbirth - adverse effects ; Humans ; Midwifery ; Midwifery - standards ; Netherlands ; Obstetrics ; Postpartum Hemorrhage - etiology ; Postpartum Hemorrhage - prevention & control ; Postpartum Hemorrhage - therapy ; Postpartum period ; Pregnancy ; Prevention ; Primary care ; Quality Indicators, Health Care ; Questionnaires ; Womens health</subject><ispartof>BMC pregnancy and childbirth, 2013-10, Vol.13 (1), p.194-7 pages, Article 194</ispartof><rights>2013 Smit et al.; licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2013 Smit et al.; licensee BioMed Central Ltd. 2013 Smit et al.; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b584t-c25fd8ef5692f2c372def14043727ab92c1c9212e410ff2d50983e323de112b43</citedby><cites>FETCH-LOGICAL-b584t-c25fd8ef5692f2c372def14043727ab92c1c9212e410ff2d50983e323de112b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016500/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1446694614?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24139411$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smit, Marrit</creatorcontrib><creatorcontrib>Sindram, Susanne I C</creatorcontrib><creatorcontrib>Woiski, Mallory</creatorcontrib><creatorcontrib>Middeldorp, Johanna M</creatorcontrib><creatorcontrib>van Roosmalen, Jos</creatorcontrib><title>The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands</title><title>BMC pregnancy and childbirth</title><addtitle>BMC Pregnancy Childbirth</addtitle><description>At present, there are no guidelines on prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands. The first step towards implementing guidelines is the development of a set of quality indicators for prevention and management of postpartum haemorrhage for primary midwifery supervised (home) birth in the Netherlands.
A RAND modified Delphi procedure was applied. This method consists of five steps: (1) composing an expert panel (2) literature research and collection of possible quality indicators, (3) digital questionnaire, (4) consensus meeting and (5) critical evaluation. A multidisciplinary expert panel consisting of five midwives, seven obstetricians and an ambulance paramedic was assembled after applying pre-specified criteria concerning expertise in various domains relating to primary midwifery care, secondary obstetric care, emergency transportation, maternal morbidity or mortality audit, quality indicator development or clinical guidelines development and representatives of professional organisations.
After literature review, 79 recommendations were selected for assessment by the expert panel. After a digital questionnaire to the expert panel seven indicators were added, resulting in 86 possible indicators. After excluding 41 indicators that panel members unanimously found invalid, 45 possible indicators were assessed at the consensus meeting. During critical evaluation 18 potential indicators were found to be overlapping and two were discarded due to lack of measurability.
A set of 25 quality indicators was considered valid for testing in practice.</description><subject>Childbirth & labor</subject><subject>Delphi method</subject><subject>Delphi Technique</subject><subject>Female</subject><subject>Hemorrhage</subject><subject>Home births</subject><subject>Home Childbirth - adverse effects</subject><subject>Humans</subject><subject>Midwifery</subject><subject>Midwifery - standards</subject><subject>Netherlands</subject><subject>Obstetrics</subject><subject>Postpartum Hemorrhage - etiology</subject><subject>Postpartum Hemorrhage - prevention & control</subject><subject>Postpartum Hemorrhage - therapy</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prevention</subject><subject>Primary care</subject><subject>Quality Indicators, Health Care</subject><subject>Questionnaires</subject><subject>Womens health</subject><issn>1471-2393</issn><issn>1471-2393</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNqNUk1r3DAQNaWlSdPeeyqCXnJxq5HlD10KZekXhPaSnoUsj7IKtuVIdkL-RH9zxt3NkpQWCoM0aN57eppRlr0G_g6gqd6DrCEXhSpyoFDySXZ8OHr6ID_KXqR0yTnUTcmfZ0dCQqEkwHH263yLrMNr7MM04Diz4NjVYno_3zI_dt6aOcTEXIhsJuQUCTrOPozMjB0bzGgu8J43hTRPJs7LwLYGhxDjlqokQzQ_mHjLBt_deIeUWRN_V1bR70hr7EkwvcyeOdMnfLXfT7Kfnz-db77mZz--fNt8PMvbspFzbkXpugZdWSnhhC1q0aEDySVltWmVsGCVAIESuHOiK7lqCixE0SGAaGVxkn3Y6U5LO2Bn6QXR9HrvUwfj9ePK6Lf6IlxryaEqOSeBzU6g9eEfAo8rNgx6nYde56GBQq02Tvc2YrhaMM168MliT73AsCQiKF5XsuH1f0CriivRyIagb_-AXoYljtRPQhFMyQrWu_kOZWNIKaI7mAeu19_1N7tvHnbtQLj_TsUdIzvNow</recordid><startdate>20131020</startdate><enddate>20131020</enddate><creator>Smit, Marrit</creator><creator>Sindram, Susanne I C</creator><creator>Woiski, Mallory</creator><creator>Middeldorp, Johanna M</creator><creator>van Roosmalen, Jos</creator><general>BioMed Central</general><general>BioMed Central Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20131020</creationdate><title>The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands</title><author>Smit, Marrit ; 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The first step towards implementing guidelines is the development of a set of quality indicators for prevention and management of postpartum haemorrhage for primary midwifery supervised (home) birth in the Netherlands.
A RAND modified Delphi procedure was applied. This method consists of five steps: (1) composing an expert panel (2) literature research and collection of possible quality indicators, (3) digital questionnaire, (4) consensus meeting and (5) critical evaluation. A multidisciplinary expert panel consisting of five midwives, seven obstetricians and an ambulance paramedic was assembled after applying pre-specified criteria concerning expertise in various domains relating to primary midwifery care, secondary obstetric care, emergency transportation, maternal morbidity or mortality audit, quality indicator development or clinical guidelines development and representatives of professional organisations.
After literature review, 79 recommendations were selected for assessment by the expert panel. After a digital questionnaire to the expert panel seven indicators were added, resulting in 86 possible indicators. After excluding 41 indicators that panel members unanimously found invalid, 45 possible indicators were assessed at the consensus meeting. During critical evaluation 18 potential indicators were found to be overlapping and two were discarded due to lack of measurability.
A set of 25 quality indicators was considered valid for testing in practice.</abstract><cop>England</cop><pub>BioMed Central</pub><pmid>24139411</pmid><doi>10.1186/1471-2393-13-194</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | BMC pregnancy and childbirth, 2013-10, Vol.13 (1), p.194-7 pages, Article 194 |
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| language | eng |
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| source | Publicly Available Content Database; PubMed Central |
| subjects | Childbirth & labor Delphi method Delphi Technique Female Hemorrhage Home births Home Childbirth - adverse effects Humans Midwifery Midwifery - standards Netherlands Obstetrics Postpartum Hemorrhage - etiology Postpartum Hemorrhage - prevention & control Postpartum Hemorrhage - therapy Postpartum period Pregnancy Prevention Primary care Quality Indicators, Health Care Questionnaires Womens health |
| title | The development of quality indicators for the prevention and management of postpartum haemorrhage in primary midwifery care in the Netherlands |
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