Benchmarking and patient safety in hypertensive disorders of pregnancy

Best Practice and Research: Clinical Obstetrics and Gynaecology

Volumn 25, Issue 4, 2011, Pages 509-521

  Thornton, Charlene ^a   Hennessy, Annemarie ^a   Grobman, William A ^b  

^a UNIVERSITY OF WESTERN SYDNEY   (Australia)

^b NORTHWESTERN UNIVERSITY   (United States)

Author keywords

benchmarking; patient safety; preventable adverse events; quality of care

Indexed keywords

ANTIHYPERTENSIVE AGENT; MAGNESIUM SULFATE;

ARTICLE; AUSTRALIA; CLINICAL FEATURE; COMMUNICATION SKILL; DOCTOR PATIENT RELATION; EUROPEAN UNION; HEALTH CARE QUALITY; HUMAN; LUNG EDEMA; MATERNAL CARE; MATERNAL HYPERTENSION; MATERNAL MORBIDITY; MATERNAL MORTALITY; MEDICATION ERROR; PATIENT SAFETY; PREECLAMPSIA; PREGNANCY OUTCOME; PREVALENCE; PRIORITY JOURNAL; QUALITY CONTROL; UNITED KINGDOM; UNITED STATES;

EID: 79960445099     PISSN: 15216934     EISSN: 15321932     Source Type: Journal    
DOI: 10.1016/j.bpobgyn.2011.03.002     Document Type: Review

References (65)

1. US News and World Report, America's best hospitals; http://health.usnews. com/health/best-hospitals; [accessed 04.03.11].
2. P.K. Dey, S. Hariharan, and O. Despic Managing healthcare performance in analytical framework BIJ 4 2008 444 468
3. Australian Institute of Health and Welfare. Health expenditure; http://www.aihw.gov.au/expenditure/health.cfm;[accessed 04.03.11].
4. O. Groene, N. Klazinga, and V. Kazandjian The World Health Organization Performance Assessment Tool for Quality Improvement in hospitals (PATH): an analysis of the pilot implementations in 37 hospitals Int J Qual Health Care 20 2008 155 161 (Pubitemid 351753554)
5. J.E. Zimmerman, A.A. Kramer, and D.S. McNair Intensive care unit length of stay: benchmarking based on acute physiology and chronic health evaluation (APAHCE) IV Crit Care Med 34 2006 2517 2529 (Pubitemid 44413047)
6. Australian Institute of Health and Welfare 2006, Australian national diagnosis related groups of admitted patients (DRG); http://www.aihw.gov.au/ publications/hse/ahs95-6/ahs95-6-c08a.pdf; [accessed 04.03.11].
7. S.H. Scholle, J. Roski, and D.L. Dunn Availability of data for measuring physician quality performance Am J Manag Care 15 2009 67 72
8. P.J. Stow, G.K. Hart, and T.R. Higlett Development and implementation of a high-quality clinical database: the Australia and New Zealand Intensive Care Society Adult Patient Database J Crit Care 21 2006 133 135
9. S.D. Bagg, A.P. Pombo, and W.M. Hopman Toward benchmarks for stroke rehabilitation in Ontario, Canada Am J Phys Med Rehab 85 2006 971 976 (Pubitemid 44789613)
10. W. Meissner, K. Ullrich, and S. Zwacka Benchmarking as a tool of continuous quality improvement in postoperative pain management Eur J Anaesthesiology 23 2006 142 148 (Pubitemid 43144223)
11. M.C. Rossi, A. Nicolucci, and A. Arcangeli Baseline quality-of-care data from a quality-improvement program implemented by a network of diabetes outpatient clinics Diabetes Care 31 2008 2166 2168
12. M. Knight, J.J. Kurinczuk, P. Spark on behalf of UKOSS United Kingdom Obstetric Surveillance System (UKOSS) Annual Report 2008 2008 National Perinatal Epidemiology Unit Oxford Oxford
13. Martin, JA, Hamilton, BE, Sutton, PD, et al., for the US Department of Health and Human Services. National vital statistics report. Births: final data for 2006; http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57-07.pdf; [accessed 04.03.11].
14. Zeitlin J, Euro-Peristat. European Perinatal Health Report, 2008; http://www.europeristat.com/bm.doc/european-perinatal-health-report.pdf; [accessed 04.03.11].
15. Australian Institute of Health and Welfare National perinatal data collection New South Wales policy directive midwives data collection (MDC) reporting and submission requirements 2007 www.npsu.unsw.edu.au/PRERUWEB.nsf/ page/NPDC
16. New South Wales Department of Health Centre for Epidemiology and Research. New South Wales mothers and babies 2005 NSW Public Health Bulletin 18 s1 2007
17. New South Wales Department of Health, Centre for Epidemiology and Research. New South Wales Mothers and Babies 2005, 2007; http://www.health.nsw. gov.au/pubs/2007/mcd05.html; [accessed 04.03.11].
18. M. Pym, and L. Taylor Validation study of the New South Wales Midwives Data Collection 1990 Pub Health Bull Suppl 8 1993 1 6
19. New South Wales Department of Health Validation study: NSW midwives data collection 1998 2000 NSW Department of Health Sydney
20. C. Thornton, A. Makris, and R. Ogle Generic obstetric database systems are unreliable for reporting the hypertensive disorders of pregnancy Aust NZ J Obstet Gynaecol 44 2004 505 509 (Pubitemid 40073949)
21. S.A. Lowe, M.A. Brown, and G. Dekker Guidelines for the management of hypertensive disorders of pregnancy 2008 SOMANZ http://www.somanz.org/pdfs/ somanz-guidelines-2008.pdf [accessed 04.03.11]
22. W.W. Herrick, and A.J.B. Tillman Toxemia of pregnancy: its relation to cardiovascular and renal disease; clinical and necropsy observations with a long follow-up Arch Intern Med 55 1935 643 664
23. A.M. Davies Geographical epidemiology of the toxemias of pregnancy 1971 Charles C. Thomas Illinois
24. J. Zhang, S. Meikle, and A. Trumble Severe maternal morbidity associated with hypertensive disorders in pregnancy in the United States Hypertens Pregnancy 22 2003 203 212 (Pubitemid 37521372)
25. A. Buchbinder, B.M. Sibai, and S. Caritis Adverse perinatal outcomes are significantly higher in severe gestational hypertension than in mild-pre-eclampsia Am J Obstet Gynecol 186 2002 66 71 (Pubitemid 34093742)
26. C.S.E. Homer, M.A. Brown, and G. Mangos Non-proteinuric pre-eclampsia: a novel risk indicator in women with gestational hypertension J Hypertens 26 2007 295 302
27. M.A. Brown, and M.L. Buddle What's in a name? Problems with the classification of hypertension in pregnancy J Hypertens 15 1997 1049 1054 (Pubitemid 27420384)
28. E. Rey, and A. Couturier The prognosis of pregnancy in women with chronic hypertension Am J Obstet Gynecol 171 1994 410 416 (Pubitemid 24279226)
29. J.G. Ray, R.F. Burrows, and E.A. Burrows MOS HIP: McMaster outcome study of hypertension in pregnancy Early Hum Dev 64 2001 129 143 (Pubitemid 32618662)
30. J.C. Hauth, M.G. Ewell, and R.J. Levine Pregnancy outcomes in healthy nulliparas who developed hypertension. Calcium for Pre-eclampsia Prevention Study Group Obstet Gynecol 95 2000 24 28 (Pubitemid 30001623)
31. C.L. Roberts, J.C. Bell, and J.B. Ford The accuracy of reporting of the hypertensive disorders of pregnancy in population health data' Hypertens Pregnancy 27 2008 285 297
32. A.R. Heard, G.A. Dekker, and A. Chan Hypertension during pregnancy in South Australia, part 1: pregnancy outcomes' Aust NZ J Obstet Gynaecol 44 2004 404 409 (Pubitemid 39485265)
33. S.A. Vreeburg, D.J. Jacobs, and G.A. Dekker Hypertension during pregnancy in South Australia, part 2: risk factors for adverse maternal and/or perinatal outcome: results of multivariable analysis Aust NZ J Obstet Gynaecol 44 2004 410 418 (Pubitemid 39485266)
34. Thornton C, Ogle R, von Dadelszen P et al. Surveillance of outcomes for women and babies following hypertension during pregnancy. International Society for the Study of Hypertension in Pregnancy. Washington. September 18-21 2008.
35. World Health Organization. International statistical classification of diseases and related health problems 10th revision version for 2007; http://apps.who.int/classifications/apps/icd/icd10online/; [accessed 04.03.11].
36. P.F. Drucker The practice of management 1954 Oxford University Press Oxford
37. World Health Organization Managing eclampsia 2008 WHO Geneva
38. Roberts C. The epidemiology of pre-eclampsia: the use of population data. International Society for Study of Hypertension in Pregnancy Bi-annual Conference, July 2010, Melbourne Australia.
39. K.N. Lohr, and S.A. Schroeder A strategy for quality assurance in medicare N Engl J Med 322 1990 707 712 (Pubitemid 20089566)
40. To err is human: building a safer health care system 1999 National Academy Press Washington, DC Institute of Medicine
41. Crossing the quality chasm 2001 National Academy Press Washington, DC Institute of Medicine
42. C.J. Berg, M.A. Harper, and S. Atkinson Preventability of pregnancy-related deaths Obstet Gynecol 106 2005 1228 1234
43. A.A. White, J.W. Pichert, and S.H. Bledsoe Cause and effect analysis of closed claims in obstetrics and gynecology Obstet Gynecol 105 2005 1031 1038 (Pubitemid 40571022)
44. S.L. Clark, M.A. Belfort, and G.A. Dildy Reducing obstetric litigation through alterations in practice patterns Am J Obstet Gynecol 112 2010 1279 1283
45. A.J. Forster, I. Fung, and S. Caughey Adverse events detected by clinical surveillance on an obstetric service Obstet Gynecol 108 2006 1073 1083 (Pubitemid 44665400)
46. Joint Commission Sentinel Event Alert. Issue 30. Preventing Infant Death and Injury During Delivery. July 21 2004. http://www.jointcommission.org/ SentinelEvents/SentinelEventAlert/sea-30.htm, obtained May 10, 2010.
47. K.S. Khan WHO analysis of causes of maternal death: a systematic review Lancet 307 2006 1066 1074
48. st century: causes, prevention, and relationship to cesarean delivery Am J Obstet Gynecol 199 2008 36.e1 36.e5
49. S.E. Geller, D. Rosenberg, and S.M. Cox The continuum of maternal morbidity and mortality: factors associated with severity Am J Obstet Gynecol 191 2004 939 944 (Pubitemid 39298137)
50. M.J. Tucker, C.J. Berg, W.M. Callaghan, and J. Hsia The black-white disparity in pregnancy-related mortality from 5 conditions: differences in prevalence and case-fatality rates Am J Pub Health 97 2007 247 251 (Pubitemid 47279370)
51. D. Rosenberg, S.E. Geller, and L. Studee Disparities in mortality among high risk pregnant women in Illinois: a population based study Ann Epidemiol 16 2006 26 32 (Pubitemid 41783885)
52. T.A. Kfuri, L. Morlock, and R.W. Hicks Medication errors in obstetrics Clin Perinatol 35 2008 101 117 (Pubitemid 351249845)
53. K.R. Simpson, and G.E. Knox Obstetrical accidents involving intravenous magnesium sulfate MCN Am J Matern Child Nurs 29 2004 161 171
54. B.M. Hales, and P.J. Pronovost The checklist: a tool for error management and performance improvement J Crit Care 21 2006 231 235 (Pubitemid 44399847)
55. P. Pronovost, D. Needham, and S. Berenholtz An intervention to decrease catheter-related bloodstream infections in the ICU N Engl J Med 355 2006 2725 2732 (Pubitemid 46021509)
56. J. Menzies, L.A. Magee, and J. Li Instituting surveillance guidelines and adverse outcomes in pre-eclampsia Obstet Gynecol 110 2007 21 27
57. P. von Dadelszen, D. Sawchuck, and R. McMaster The active implementation of pregnancy hypertension guidelines in British Columbia Obstet Gynecol 116 2010 659 666
58. A. Abuhamad, and W.A. Grobman Patient safety and medical liability: current status and an agenda for the future Obstet Gynecol 116 2010 570 577
59. D.J. Birnbach, and E. Salas Can medical simulation and team training reduce errors in labor and delivery? Anesthesiol Clin 26 2008 159 168 (Pubitemid 351305505)
60. S. Thompson, S. Neal, and V. Clark Clinical risk management in obstetrics: eclampsia drills Qual Saf Health Care 13 2004 127 129
61. D. Ellis, J.F. Crofts, and L.P. Hunt Hospital, simulation center and teamwork training for eclampsia management Obstet Gynecol 111 2008 723 731 (Pubitemid 351654079)
62. E. Haelterman, R. Qvist, and P. Barlow Social deprivation and poor access to care as risk factors for severe pre-eclampsia Eur J Obstet Gynecol Reprod Biol 111 2003 25 32 (Pubitemid 37235949)
63. D. Ogunyemi, J.L. Benae, and C. Ukatu Is eeclampsia preventable? A case control review of consecutive cases from an urban underserved region South Med Assoc 95 2004 440 445 (Pubitemid 38623772)
64. W.B. You, M. Wolf, and S.C. Bailey Factors associated with patient understanding of pre-eclampsia Hypertens Pregnancy 2010 (epub ahead of print)
65. I. MacGillivray, A.M. McCaw-Binns, and D.E. Ashley Strategies to prevent eclampsia in a developing country: II. Use of a maternal pictorial card Int J Gynecol Obstet 87 2004 295 300 (Pubitemid 39535101)