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unige:20483 
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Indicateurs securité en obstétrique : une étude Delphi |
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| Published in | Journal de gynécologie obstétrique et biologie de la reproduction. 2010, vol. 39, no. 5, p. 371-378 | |
| Abstract | 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. | |
| Keywords | Anesthesia, Obstetrical/standards — Consensus — Delivery, Obstetric — Female — Humans — Labor, Obstetric — Medical Errors/prevention & control — Neonatology/standards — *Obstetrics/standards — *Patient Care — Pregnancy — Questionnaires — Safety Management/*methods | |
| Identifiers | PMID: 20598813 | |
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| Research groups | Groupe Irion Olivier/Boulvain Michel (gynécologie et obstétrique) (272) Réanimation néonatale en salle d'accouchement (696) Groupe Clergue François (anesthésiologie) (71) Maladies pulmonaires aigues et pathologies cardiaques congénitales (697) | |
| Citation (ISO format) | HALLER, Guy Serge Antoine et al. Indicateurs securité en obstétrique : une étude Delphi. In: Journal de gynécologie obstétrique et biologie de la reproduction, 2010, vol. 39, n° 5, p. 371-378. https://archive-ouverte.unige.ch/unige:20483 |
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