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Intrapartum care quality indicators: a systematic approach for achieving consensus
Thabani Sibanda1, Robert Fox, Timothy J Draycott
1Department of Obstetrics and Gynaecology, Hutt Hospital, Hutt Valley District Health Board, New Zealand.
Researchers identified and refined maternity intrapartum quality indicators using a Delphi process. A core set of 12 indicators was defined to monitor labor and delivery outcomes effectively.
Area of Science:
- Maternal-Fetal Medicine
- Healthcare Quality Improvement
- Clinical Governance
Background:
- Numerous maternity intrapartum quality indicators exist.
- A need for a rationalized, core set of indicators for consistent monitoring.
Purpose of the Study:
- To identify published intrapartum quality indicators.
- To rationalize these into a core, evidence-based set for clinical practice.
Main Methods:
- Literature search for intrapartum quality indicators.
- Qualitative consensus group exercise using a modified Delphi process.
- Expert panel review and rating of indicators for specificity, measurability, modifiability, and relevance.
Main Results:
- 290 clinical indicators identified across 96 categories.
- Rationalization led to 10 core and 24 additional indicators for Delphi process.
- A final consensus of 12 broad clinical quality indicators was established.
Conclusions:
- A pragmatic set of 12 intrapartum quality indicators was defined using a Delphi process.
- These indicators offer comprehensive coverage of labor and delivery outcomes.
- The set is suitable for developing maternity performance monitoring and dashboard systems.
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