Impact Of A Nationwide Study For Surveillance Of Maternal Near-miss On The Quality Of Care Provided By Participating Centers: A Quantitative And Qualitative Approach

dc.creatorLuz A.G.
dc.creatorOsis M.J.D.
dc.creatorRibeiro M.
dc.creatorCecatti J.G.
dc.creatorAmaral E.
dc.date2014
dc.date2015-06-25T17:52:26Z
dc.date2015-11-26T14:16:29Z
dc.date2015-06-25T17:52:26Z
dc.date2015-11-26T14:16:29Z
dc.date.accessioned2018-03-28T21:17:29Z
dc.date.available2018-03-28T21:17:29Z
dc.identifier
dc.identifierBmc Pregnancy And Childbirth. Biomed Central Ltd., v. 14, n. 1, p. - , 2014.
dc.identifier14712393
dc.identifier10.1186/1471-2393-14-122
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84897987824&partnerID=40&md5=5a264572348548c1bd98462b334224ff
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/86272
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/86272
dc.identifier2-s2.0-84897987824
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1243075
dc.descriptionBackground: The Brazilian Network for Surveillance of Severe Maternal Morbidity was established in 27 centers in different regions of Brazil to investigate the frequency of severe maternal morbidity (near-miss and potentially life-threatening conditions) and associated factors, and to create a collaborative network for studies on perinatal health. It also allowed interventions aimed at improving the quality of care in the participating institutions. The objective of this study was to evaluate the perception of the professionals involved regarding the effect of participating in such network on the quality of care provided to women.Methods: A mixed quantitative and qualitative study interviewed coordinators, investigators and managers from all the 27 obstetric units that had participated in the network. Following verbal informed consent, data were collected six and twelve months after the surveillance period using structured and semi-structured interviews that were conducted by telephone and recorded. A descriptive analysis for the quantitative and categorical data, and a thematic content analysis for the answers to the open questions were performed.Results: The vast majority (93%) of interviewees considered it was important to have participated in the network and 95% that their ability to identify cases of severe maternal morbidity had improved. They also considered that the study had a positive effect, leading to changes in how cases were identified, better organization/standardization of team activities, changes in routines/protocols, implementation of auditing for severe cases, dissemination of knowledge at local/regional level and a contribution to local and/or national identification of maternal morbidity. After 12 months, interviewees mentioned the need to improve prenatal care and the scientific importance of the results. Some believed that there had been little or no impact due to the poor dissemination of information and the resistance of professionals to change practice. In this second interview, a lack of systematic surveillance after the end of the study, difficulty in referring cases and changes in the leadership of the unit were mentioned.Conclusion: In the opinion of these professionals, participating in a network for the surveillance of severe maternal morbidity represented a good strategy for improving services, even in reference centers. © 2014 Luz et al.; licensee BioMed Central Ltd.
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dc.description
dc.description
dc.descriptionThe Millennium Development Goals Report 2013 http://www.undp.org/content/dam/undp/library/MDG/english/mdg-report-2013-english.pdf, United Nations Department of Economic and Social Affairs (DESA)Say, L., Souza, J.P., Pattinson, R.C., Maternal near miss - towards a standard tool for monitoring quality of maternal health care (2009) Best Pract Res Clin Obstet Gynaecol, 23, pp. 287-296. , 10.1016/j.bpobgyn.2009.01.007, 19303368, WHO working group on Maternal Mortality and Morbidity classifications
dc.descriptionFerlie, E.B., Shortell, S.M., Improving the quality of health care in the United Kingdom and the United States: a framework for change (2001) Milbank Q, 79, pp. 281-315. , 10.1111/1468-0009.00206, 2751188, 11439467
dc.descriptionSouza, J.P., Sousa, M.H., Parpinelli, M.A., Amaral, E., Cecatti, J.G., Self-reported maternal morbidity and associated factors among Brazilian women (2008) Rev Assoc Med Bras, 54, pp. 249-255. , 10.1590/S0104-42302008000300019, 18604404
dc.descriptionSouza, J.P., Parpinelli, M.A., Amaral, E., Cecatti, J.G., Population surveys using validated questionnaires provided useful information on the prevalence of maternal morbidities (2008) J Clin Epidemiol, 61, pp. 169-176. , 10.1016/j.jclinepi.2007.04.009, 18177790
dc.descriptionFilippi, V., Goufodji, S., Sismanidis, C., Kanhonou, L., Fottrell, E., Ronsmans, C., Alihonou, E., Patel, V., Effects of severe obstetric complications on women's health and infant mortality in Benin (2010) Trop Med Int Health, 15, pp. 733-742. , 10.1111/j.1365-3156.2010.02534.x, 3492915, 20406426
dc.descriptionCecatti, J.G., Souza, J.P., Parpinelli, M.A., De Sousa, M.H., Amaral, E., Research on severe maternal morbidities and near-misses in Brazil: what we have learned (2007) Reprod Health Matters, 15, pp. 125-133. , 10.1016/S0968-8080(07)30333-9, 17938077
dc.descriptionSouza, J.P., Parpinelli, M.A., Amaral, E., Cecatti, J.G., Obstetric care and severe pregnancy complications in Latin America and the Caribbean: an analysis of information from demographic health surveys (2007) Rev Panam Salud Pública, 21, pp. 396-401
dc.descriptionAmaral, E., Souza, J.P., Surita, F., Luz, A.G., Sousa, M.H., Cecatti, J.G., Campbell, O., A population-based surveillance study on severe acute maternal morbidity (near-miss) and adverse perinatal outcomes in Campinas, Brazil: the Vigimoma Project (2011) BMC Pregnancy Childbirth, 11, p. 9. , 10.1186/1471-2393-11-9, 3032755, 21255453
dc.descriptionLuz, A.G., Tiago, D.B., Silva, J.C., Amaral, E., Severe maternal morbidity at a local reference university hospital in Campinas, São Paulo, Brazil (2008) Rev Bras Ginecol Obstet, 30, pp. 281-286. , 10.1590/S0100-72032008000600003, 19142505
dc.descriptionIvers, N., Jamtvedt, G., Flottorp, S., Young, J.M., Odgaard-Jensen, J., French, S.D., O'Brien, M.A., Oxman, A.D., Audit and feedback: effects on professional practice and healthcare outcomes (2012) Cochrane Database Syst Rev, 6. , CD000259
dc.descriptionForsetlund, L., Bjørndal, A., Rashidian, A., Jamtvedt, G., O'Brien, M.A., Wolf, F., Davis, D., Oxman, A.D., Continuing education meetings and workshops: effects on professional practice and health care outcomes (2009) Cochrane Database Syst Rev, 2. , CD003030
dc.descriptionGraham, W., Wagaarachchi, P., Penney, G., McCaw-Binns, A., Antwi, K.Y., Hall, M.H., Criteria for clinical audit of the quality of hospital-based obstetric care in developing countries (2000) Bull World Health Organ, 78, pp. 614-620. , 2560769, 10859855
dc.descriptionCecatti, J.G., Souza, J.P., Parpinelli, M.A., Haddad, S.M., Camargo, R.S., Pacagnella, R.C., Silveira, C., Pattinson, R.C., Brazilian network for the surveillance of maternal potentially life threatening morbidity and maternal near-miss and a multidimensional evaluation of their long term consequences (2009) Reprod Health, 6, p. 15. , 10.1186/1742-4755-6-15, 2760504, 19778437, Brazilian Network for Surveillance of Severe Maternal Morbidity
dc.descriptionHaddad, S.M., Cecatti, J.G., Parpinelli, M.A., Souza, J.P., Costa, M.L., Sousa, M.H., Surita, F.G., Pattinson, R.C., From planning to practice: building the national network for the Surveillance of Severe Maternal Morbidity (2011) BMC Public Health, 11, p. 283. , 10.1186/1471-2458-11-283, 3101659, 21549009, National Network for the Surveillance of Severe Maternal Morbidity Group
dc.descriptionCreswell, J.W., (2009) Research design: qualitative, quantitative and mixed methods approaches, , SAGE: Thousand Oaks, CA
dc.descriptionPatton, M.Q., (1990) Qualitative evaluation and research methods, , SAGE: Newbury Park, CA
dc.descriptionHanna, P., Using internet technologies (such as Skype) as a research medium: a research note (2012) Qualitative Research, 12, pp. 239-242
dc.descriptionVan Den Akker, T., Van Rhenen, J., Mwagomba, B., Lommerse, K., Vinkhumbo, S., Van Roosmalen, J., Reduction of severe acute maternal morbidity and maternal mortality in Thyolo District, Malawi: the impact of obstetric audit (2011) PLoS One, 6, pp. e20776. , 10.1371/journal.pone.0020776, 3109003, 21677788
dc.descriptionBakker, W., Van Den Akker, T., Mwagomba, B., Khukulu, R., Van Elteren, M., Van Roosmalen, J., Health workers' perceptions of obstetric critical incident audit in Thyolo District, Malawi (2011) Trop Med Int Health, 16, pp. 1243-1250. , 10.1111/j.1365-3156.2011.02832.x, 21767335
dc.descriptionRhydderch, M., Edwards, A., Glynelwyn, B.A., Marshall, M., Engels, Y., Hombergh, P.V., Grol, R., Organizational assessment in general practice: a systematic review and implications for quality improvement (2005) J Eval Clin Pract, 11, pp. 366-378. , 10.1111/j.1365-2753.2005.00544.x, 16011649
dc.descriptionPacagnella, R.C., Cecatti, J.G., Osis, M.J., Souza, J.P., The role of delays in severe maternal morbidity and mortality: expanding the conceptual framework (2012) Reprod Health Matters, 20, pp. 155-163. , 10.1016/S0968-8080(12)39601-8, 22789093
dc.descriptionDavis, D., Davis, N., Selecting educational interventions for knowledge translation (2010) CMAJ, 182, pp. E89-E93. , 10.1503/cmaj.081241, 2817343, 20048013
dc.descriptionJeffs, L., Berta, W., Lingard, L., Baker, G.R., Learning from near misses: from quick fixes to closing off the Swiss-cheese holes (2012) BMJ Qual Saf, 21, pp. 287-294. , 10.1136/bmjqs-2011-000256, 22357777
dc.languageen
dc.publisherBioMed Central Ltd.
dc.relationBMC Pregnancy and Childbirth
dc.rightsfechado
dc.sourceScopus
dc.titleImpact Of A Nationwide Study For Surveillance Of Maternal Near-miss On The Quality Of Care Provided By Participating Centers: A Quantitative And Qualitative Approach
dc.typeArtículos de revistas


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