Liverpool Women's NHS Foundation Trust, Liverpool, UK.
BJOG. 2011 Dec;118(13):1661-4. doi: 10.1111/j.1471-0528.2011.03094.x. Epub 2011 Sep 6.
Stillbirth rates do not address deficiencies in care. We collected information on stillbirths from 2004 to 2009 using a standardised pro forma. A local panel used the pro forma to grade the level of care received by the Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI) categorisation. Comparison using kappa scores showed agreement between local and external multidisciplinary panels of similar referral patterns (n = 47, κ = 0.7), and that the categorisation was unaffected by the individual who fills out the pro forma (n = 17, κ = 0.5). There was less agreement between the local panel and adverse event review (n = 100, κ = 0.45). This report represents a validation of the pro forma and the review process for standard use in all units.
死产率并不能解决护理缺陷问题。我们使用标准化表格收集了 2004 年至 2009 年的死产信息。一个本地小组使用该表格按照保密性婴儿死亡及出生缺陷调查（CESDI）分类标准来评估所接受的护理水平。kappa 评分的比较显示，具有相似转诊模式的本地和外部多学科小组之间存在一致性（n = 47，κ = 0.7），并且分类不受填写表格的个人的影响（n = 17，κ = 0.5）。本地小组和不良事件审查之间的一致性较小（n = 100，κ = 0.45）。本报告代表了对表格和审查流程的验证，可在所有单位常规使用。
