Indicateurs sécurité en obstétrique : une étude Delphi [Patient safety indicators for obstetrics: a Delphi based study]

Détails

ID Serval
serval:BIB_A1B05E529BB6
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Indicateurs sécurité en obstétrique : une étude Delphi [Patient safety indicators for obstetrics: a Delphi based study]
Périodique
Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Auteur⸱e⸱s
Haller G., Camparini-Righini N., Kern C., Pfister R.E., Morales M., Berner M., Clergue F., Irion O.
ISSN
0368-2315[print], 0150-9918[linking]
Statut éditorial
Publié
Date de publication
2010
Volume
39
Numéro
5
Pages
371-378
Langue
français
Résumé
OBJECTIVE: Clinical indicators are increasingly used to assess safety of patient care. In obstetrics, only a few indicators have been validated to date and none is used across specialties. The purpose of this study was to identify and assess for face and content validity a group of safety indicators that could be used by anaesthetists, obstetricians and neonatologists involved in labour and delivery units.
MATERIALS AND METHODS: We first conducted a systematic review of the literature to identify potential measures. Indicators were then validated by a panel of 30 experts representing all specialties working in labour and delivery units. We used the Delphi method, an iterative questionnaire-based consensus seeking technique. Experts determined on a 7-point Likert scale (1=most representative/7=less representative) the soundness of each indicator as a measure of safety and their possible association with errors and complications caused by medical management.
RESULTS: We identified 44 potential clinical indicators from the literature. Following the Delphi process, 13 indicators were considered as highly representative of safety during obstetrical care (mean score</=2.3). Experts ranked 6 of these indicators as being strongly associated to potential errors and complications.
CONCLUSIONS: We identified and validated for face and content, a group of six clinical indicators to measure potentially preventable iatrogenic complications in labour and delivery units.
Mots-clé
Perinatal care, Clinical indicators, Quality and safety, Iatrogenic complications, Medical errors
Pubmed
Web of science
Création de la notice
07/10/2010 13:34
Dernière modification de la notice
20/08/2019 15:07
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