Department of Obstetrics and Gynecology, Landspítali University Hospital, Reykjavík, Iceland.
Department of Obstetrics and Gynecology, Herlev University Hospital, Herlev, Denmark.
Acta Obstet Gynecol Scand. 2019 Aug;98(8):955-957. doi: 10.1111/aogs.13601. Epub 2019 Mar 20.
Severe obstetric complications are not extensively studied and individual cases are used too little and inappropriately in quality improvement activities, due to limited numbers and prioritization of quantitative research. Nordic and European experts performed a qualitative pilot study using anonymized cases of peripartum hysterectomy. It was feasible to anonymize narratives and we learned lessons in the form of themes for improved clinical care and future research. Therefore, we plan a Nordic anonymized review of the care of women who have undergone peripartum hysterectomy based on narratives. The qualitative outcomes of clinically relevant themes for quality improvement and research will add value to the quantitative analyses from the Nordic medical birth registries. In the longer term, we believe that qualitative audits should be an essential part of the process of continuing improvement in maternity care.
严重的产科并发症研究不够充分，由于定量研究数量有限且优先排序，因此在质量改进活动中，个案的使用也不够充分且不恰当。北欧和欧洲专家使用匿名的围产期子宫切除术病例进行了定性试点研究。对叙述进行匿名化是可行的，我们从改进临床护理和未来研究的主题中吸取了经验教训。因此，我们计划基于叙述对接受过围产期子宫切除术的女性进行北欧匿名审查。从质量改进和研究的角度来看，与临床相关的主题的定性结果将为来自北欧医疗出生登记处的定量分析增添价值。从长远来看，我们认为定性审计应该成为产妇保健持续改进过程中的一个重要组成部分。
