Better Outcomes & Registry Network (BORN) Ontario, Children's Hospital of Eastern Ontario - Ottawa Children's Treatment Centre, Ottawa, Ontario, Canada
Children's Hospital of Eastern Ontario Research Institute, Ottawa, Ontario, Canada.
BMJ Open. 2020 Apr 16;10(4):e036203. doi: 10.1136/bmjopen-2019-036203.
Optimising the safety of obstetric patient care is a primary concern for many hospitals. Performance indicators measuring aspects of patient care processes can lead to improvements in health systems and the prevention of harm to the patient. We present our protocol for a scoping review to identify indicators for obstetric safety in low risk births. We aim to identify indicators addressing preventable hospital harms, to summarise the data and synthesise results.
We will use methods described by Arksey and O'Malley and further expanded by Levac . We will search electronic databases such as Medline, Embase, CINAHL and the Cochrane Library, and websites from professional bodies and other organisations, using an iterative search strategy.Two reviewers will independently screen titles and abstracts of search results to determine eligibility for inclusion. If eligibility is not clear, the reviewers will screen the full text version. If reviewers' decisions regarding eligibility differ, a third reviewer will review the record. Two reviewers will independently extract data from records that meet our inclusion criteria using a standardised data collection form. We will narratively describe quantitative data, such as the frequency with which indicators are identified, and conduct a thematic analysis of the qualitative data. We will compile a comprehensive list of patient safety indicators and organise them according to concepts that best suit the data such as the Donabedian model or the Hospital Harm Framework. We will discuss the implications for future research, clinical practice and policy-making. We will report the conduct of the review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews checklist.
The sources of information included in this scoping review will be available to the public. Therefore, ethics approval is not warranted. We will disseminate results in a peer-reviewed publication, conference/event presentation(s) and stakeholder communications.
优化产科患者护理安全是许多医院的首要关注点。衡量患者护理流程各个方面的绩效指标可以改善卫生系统并防止患者受到伤害。我们提出了一项范围综述的方案，以确定低危分娩中产科安全的指标。我们旨在确定针对可预防的医院伤害的指标，总结数据并综合结果。
我们将使用 Arksey 和 O'Malley 以及 Levac 进一步扩展的方法。我们将使用迭代搜索策略，搜索电子数据库，如 Medline、Embase、CINAHL 和 Cochrane 图书馆，以及专业机构和其他组织的网站。两位评审员将独立筛选搜索结果的标题和摘要，以确定是否符合纳入标准。如果资格不明确，评审员将筛选全文版本。如果评审员对资格的决定存在分歧，将由第三位评审员审查记录。两位评审员将独立使用标准化数据收集表从符合纳入标准的记录中提取数据。我们将对定量数据（例如指标识别的频率）进行叙述性描述，并对定性数据进行主题分析。我们将编制一份全面的患者安全指标清单，并根据最适合数据的概念（如 Donabedian 模型或医院伤害框架）对其进行组织。我们将讨论对未来研究、临床实践和决策制定的影响。我们将使用扩展的系统评价和荟萃分析扩展的首选报告项目清单报告综述的实施情况。
本范围综述中包含的信息来源将对公众开放。因此，不需要伦理批准。我们将在同行评议的出版物、会议/活动报告和利益相关者沟通中传播研究结果。
