Quality Improvement Approach to Eliminate Disparities in Perinatal Morbidity and Mortality

被引:25
作者
Bingham, Debra [1 ,2 ]
Jones, David K. [3 ]
Howell, Elizabeth A. [4 ]
机构
[1] Inst Perinatal Qual Improvement, 255 East Lombard St,252, Baltimore, MD 21202 USA
[2] Univ Maryland, Sch Nursing, 344 West Lombard St,462A, Baltimore, MD 21201 USA
[3] Boston Univ, Sch Publ Hlth, Dept Hlth Law Policy & Management, 715 Albany St, Boston, MA 02118 USA
[4] Icahn Sch Med Mt Sinai, Dept Obstet Gynecol & Reprod Sci, 1176 Fifth Ave,Box 1170, New York, NY 10029 USA
关键词
Quality improvement; Perinatal; Disparities; Maternal mortality; Maternal morbidity; Implementation; Equity; Population health; PREGNANCY-RELATED MORTALITY; SEVERE MATERNAL MORBIDITY; UNITED-STATES; WHITE; BLACK; CARE;
D O I
10.1016/j.ogc.2019.01.006
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Preventable disparities in health outcomes for women during the perinatal period are unacceptable. To successfully combat these inequities, it is important to identify their causes and use quality improvement approaches to eliminate them. Proposed are 5 quality and safety strategies to guide efforts to eliminate disparities and ensure equitable health care for all women and newborns: (1) apply a systems approach based on the Socio-Ecological Model, (2) identify root causes of disparities, (3) identify and eliminate strong but wrong routines, (4) use improvement and implementation science methods and tools, and (5) use data to guide the plan and track progress.
引用
收藏
页码:227 / +
页数:14
相关论文
共 40 条
[1]  
[Anonymous], MANAGEMENT LANGUAGE
[2]  
[Anonymous], 2016, SEV MAT MORB NEW YOR
[3]   Structural racism and health inequities in the USA: evidence and interventions [J].
Bailey, Zinzi D. ;
Krieger, Nancy ;
Agenor, Madina ;
Graves, Jasmine ;
Linos, Natalia ;
Bassett, Mary T. .
LANCET, 2017, 389 (10077) :1453-1463
[4]   Preventability of pregnancy-related deaths - Results of a state-wide review [J].
Berg, CJ ;
Harper, MA ;
Atkinson, SM ;
Bell, EA ;
Brown, HL ;
Hage, ML ;
Mitra, AG ;
Moise, KJ ;
Callaghan, WM .
OBSTETRICS AND GYNECOLOGY, 2005, 106 (06) :1228-1234
[5]   Pregnancy-related mortality in the United States, 1991-1997 [J].
Berg, CJ ;
Chang, J ;
Callaghan, WM ;
Whitehead, SJ .
OBSTETRICS AND GYNECOLOGY, 2003, 101 (02) :289-296
[6]   Applying the Generic Errors Modeling System to Obstetric Hemorrhage Quality Improvement Efforts [J].
Bingham, Debra .
JOGNN-JOURNAL OF OBSTETRIC GYNECOLOGIC AND NEONATAL NURSING, 2012, 41 (04) :540-550
[7]   A State-Wide Obstetric Hemorrhage Quality Improvement Initiative [J].
Bingham, Debra ;
Lyndon, Audrey ;
Lagrew, David ;
Main, Elliott K. .
MCN-THE AMERICAN JOURNAL OF MATERNAL-CHILD NURSING, 2011, 36 (05) :297-304
[8]   Setting perinatal quality and safety goals: Should we strive for best outcomes? [J].
Bingham, Debra .
MIDWIFERY, 2010, 26 (05) :483-484
[9]   Effective Implementation Strategies and Tactics for Leading Change on Maternity Units [J].
Bingham, Debra ;
Main, Elliott K. .
JOURNAL OF PERINATAL & NEONATAL NURSING, 2010, 24 (01) :32-42
[10]   Universal State Newborn Screening Programs Can Reduce Health Disparities [J].
Brosco, Jeffrey P. ;
Grosse, Scott D. ;
Ross, Lainie Friedman .
JAMA PEDIATRICS, 2015, 169 (01) :7-8