Iriye Brian K, Gregory Kimberly D, Saade George R, Grobman William A, Brown Haywood L
High Risk Pregnancy Center, Las Vegas, NV.
Cedars Sinai Medical Center, Burns Allen Research Institute, Los Angeles, CA.
Am J Obstet Gynecol. 2017 Oct;217(4):B2-B25. doi: 10.1016/j.ajog.2017.07.018. Epub 2017 Jul 20.
Providers perceive current obstetric quality measures as imperfect and insufficient. Our organizations convened a "Quality Measures in High-Risk Pregnancies Workshop." The goals were to (1) review the current landscape regarding quality measures in obstetric conditions with increased risk for adverse maternal or fetal outcomes, (2) evaluate the available evidence for management of common obstetric conditions to identify those that may drive the highest impact on outcomes, quality, and value, (3) propose measures for high-risk obstetric conditions that reflect enhanced quality and efficiency, and (4) identify current research gaps, improve methods of data collection, and recommend means of change.
医疗服务提供者认为当前的产科质量指标并不完美且不够充分。我们的组织召开了一次“高危妊娠质量指标研讨会”。目标是:(1)审视当前关于产科状况质量指标的现状,这些状况会增加孕产妇或胎儿不良结局的风险;(2)评估常见产科状况管理的现有证据,以确定那些可能对结局、质量和价值产生最大影响的因素;(3)提出反映更高质量和效率的高危产科状况指标;(4)确定当前的研究差距,改进数据收集方法,并推荐变革手段。