作者
Deborah Weiss, Sandra I Dunn, Ann E Sprague, Deshayne B Fell, Jeremy M Grimshaw, Elizabeth Darling, Ian D Graham, JoAnn Harrold, Graeme N Smith, Wendy E Peterson, Jessica Reszel, Andrea Lanes, Mark C Walker, Monica Taljaard
发表日期
2018/6/1
期刊
BMJ quality & safety
卷号
27
期号
6
页码范围
425-436
出版商
BMJ Publishing Group Ltd
简介
Objectives
To assess the effect of the Maternal Newborn Dashboard on six key clinical performance indicators in the province of Ontario, Canada.
Design
Interrupted time series using population-based data from the provincial birth registry covering a 3-year period before implementation of the Dashboard and 2.5 years after implementation (November 2009 through March 2015).
Setting
All hospitals in the province of Ontario providing maternal-newborn care (n=94).
Intervention
A hospital-based online audit and feedback programme.
Main outcome measures
Rates of the six performance indicators included in the Dashboard.
Results
2.5 years after implementation, the audit and feedback programme was associated with statistically significant absolute decreases in the rates of episiotomy (decrease of 1.5 per 100 women, 95% CI 0.64 to 2.39), induction for postdates in women who were less than 41 weeks at delivery …
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D Weiss, SI Dunn, AE Sprague, DB Fell, JM Grimshaw… - BMJ quality & safety, 2018