Abstract:
OBJECTIVES:To determine the proportion of maternal and perinatal mortality and morbidity cases, identified by the Perinatal and Maternal Mortality Review Committee (PMMRC), that are also reported within the annual serious adverse events (SAEs) reports published by the Health Quality and Safety Commission (HQSC). SETTING:Nationally collated data from the PMMRC and HQSC, New Zealand. PARTICIPANTS:Analysis of maternal and perinatal mortality and morbidity data 2009-2012. INTERVENTIONS:Every SAE report published by the HQSC from 2009 to 2012 was scrutinised for maternal and perinatal cases using the case history provided by district health boards (DHB). Further detail of each case was requested from each DHB to establish whether they had been identified as maternal or perinatal mortalities or morbidities by the PMMRC. PRIMARY OUTCOME MEASURE:The proportion of maternal and perinatal mortality and morbidity cases identified by HQSC SAE reports, compared with PMMRC reporting. RESULTS:58 maternal and perinatal SAEs were identified from the SAE reports 2009-2012. Of these, 50 fit under the PMMRC reporting definitions, all of which were also reported by the PMMRC. In the same time frame, the PMMRC captured 536 potentially avoidable maternal and perinatal mortalities and morbidities that fitted the HQSC SAE definition. Fewer than 9% of maternal and perinatal SAEs are captured by the HQSC SAE reporting process. CONCLUSIONS:The rate of maternal and perinatal adverse event reporting to the HQSC is low and not improving annually, compared with PMMRC reporting of eligible events. This is of concern as these events may not be adequately reviewed locally, and because the SAE report is considered a measure of quality by the DHBs and the HQSC. Currently, the reporting of SAEs to the HQSC cannot be considered a reliable way to monitor or improve the quality of maternity services provided in New Zealand.
journal_name
BMJ Openjournal_title
BMJ openauthors
Farquhar C,Armstrong S,Kim B,Masson V,Sadler Ldoi
10.1136/bmjopen-2015-007970subject
Has Abstractpub_date
2015-07-23 00:00:00pages
e007970issue
7issn
2044-6055pii
bmjopen-2015-007970journal_volume
5pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Person-centredness is a philosophy for organising and delivering healthcare based on patients' needs, preferences and experiences. Although widely endorsed, the concept suffers from a lack of detail and clarification, in turn accounting for ambiguous implementation and outcomes. While a conceptual framewor...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011959
更新日期:2016-07-19 00:00:00
abstract:INTRODUCTION:Physically active cancer survivors have substantially less cancer recurrence and improved survival compared with those who are inactive. However, the majority of survivors (70%-90%) are not meeting the physical activity (PA) guidelines. There are also significant geographic inequalities in cancer survival ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2018-028369
更新日期:2019-05-24 00:00:00
abstract:OBJECTIVE:Public opinion and support can be powerful mandates for smoke-free policy. However, the scarcity of evidence on public opinion among Malaysians necessitates further investigation. Therefore, this study aimed to determine the level of support for smoke-free policy at various public domains and its associated f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020304
更新日期:2019-02-12 00:00:00
abstract:BACKGROUND:The health hazards associated with the use of smokeless tobacco (SLT) are similar to those of smoking. However, unlike smoking, limited initiatives have been taken to control the use of SLT, despite its widespread use in South and Southeast Asian countries including Bangladesh. It is therefore important to e...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012765
更新日期:2017-01-25 00:00:00
abstract:OBJECTIVES:Accurate assessment of cartilage status is increasingly becoming important to clinicians for offering joint preservation surgeries versus joint replacements. The goal of this study was to evaluate the validity of three-dimensional (3D), gradient-echo (GRE)-based T2* and T1Gd mapping for the assessment of var...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006895
更新日期:2015-02-09 00:00:00
abstract:OBJECTIVE:Prenatal exposure to antiepileptic drugs (AEDs) has been associated with adverse outcomes in the offspring such as congenital malformations and neuropsychiatric disorders. The objective of this study was to investigate whether prenatal exposure to AEDs is also associated with more frequent use of primary heal...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012836
更新日期:2017-01-05 00:00:00
abstract:OBJECTIVE:To test the hypothesis that cancer mortality rates among the Moluccan-Dutch, the oldest non-Western migrant group to arrive in the Netherlands after the Second World War, are similar to those in the general Dutch population. DESIGN:Population-based retrospective study. SETTING:Data from the national cause o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029288
更新日期:2019-08-15 00:00:00
abstract:OBJECTIVES:In England, many hypertensives are not detected by primary medical care. Higher detection is associated with lower premature mortality. We aimed to summarise recent evidence on detection and interventions to improve detection in order to inform policies to improve care. DESIGN:Data sources: systematic revie...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-019965
更新日期:2018-03-22 00:00:00
abstract:INTRODUCTION:Studies have documented poorer health among migrants than natives of several European countries, but little is known for Switzerland. We assessed the association between country of birth, socioeconomic factors and self-reported health (SRH) in a prospective cohort of adults living in Lausanne, Switzerland....
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035812
更新日期:2020-08-13 00:00:00
abstract:BACKGROUND:There is a growing body of evidence associating financial strain (FS) with poor health but most of this research has been cross-sectional and adult-focused. During the 'Great Recession' many UK households experienced increased FS. The primary aim of this study was to determine the impact of increased FS on c...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015559
更新日期:2017-03-09 00:00:00
abstract:INTRODUCTION:Frailty is a common condition affecting older adults and is associated with increased mortality and adverse outcomes. Identification of older adults at risk of adverse outcomes is central to subsequent resource planning and targeted interventions. This systematic review and meta-analysis will examine the: ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040765
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVE:To examine the relationship between socioeconomic status (SES) and type 2 diabetes using the Korea National Health and Nutrition Examination Survey (KNHANES) 2010-2012. DESIGN:A pooled sample cross-sectional study. SETTING:A nationally representative population survey data. PARTICIPANTS:A total of 14,330 i...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-005710
更新日期:2014-08-19 00:00:00
abstract:OBJECTIVES:Physicians often refer patients with musculoskeletal conditions to physical therapy. However, it is unclear to what extent physical therapists' treatment choices align with the evidence. The aim of this systematic review was to determine what percentage of physical therapy treatment choices for musculoskelet...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032329
更新日期:2019-10-07 00:00:00
abstract:INTRODUCTION:Glaucoma is the second leading cause of age-related vision loss worldwide; it is an umbrella term that is used to describe a set of complex ocular disorders with a multifactorial aetiology. Both genetic and lifestyle risk factors for glaucoma are well established. Thus far, however, systematic reviews on t...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2017-019049
更新日期:2018-02-28 00:00:00
abstract:OBJECTIVE:History and physical examination do not reliably exclude serious bacterial infections (SBIs) in infants. We examined potential markers of SBI in young febrile infants. DESIGN:We reviewed white cell count (WBC), absolute neutrophil count (ANC), neutrophil to lymphocyte count ratio (NLR) and C reactive protein...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018092
更新日期:2018-01-24 00:00:00
abstract:OBJECTIVES:Psychosocial healthcare is recommended, but little is known about how patients perceive the level of care and whether subgroups of patients experience less psychosocial healthcare than others. We examined the prevalence of patient-reported psychosocial healthcare and factors predicting patient-reported lack ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037691
更新日期:2020-10-10 00:00:00
abstract::Background and objective The birth of a preterm infant can be an overwhelming experience of guilt, fear and helplessness for parents. Provision of interventions to support and engage parents in the care of their infant may improve outcomes for both the parents and the infant. The objective of this systematic review is...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2010-000023
更新日期:2011-06-02 00:00:00
abstract:INTRODUCTION:In Australia, suicide is the leading cause of death for people aged 15-44 years. Health professionals deliver most of our key suicide prevention strategies via health services, but other efficacious population-level strategies include means restriction and public awareness campaigns. Currently, we have no ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038181
更新日期:2020-05-11 00:00:00
abstract:OBJECTIVES:Although the smoking prevalence continues to decline in New Zealand (NZ) overall, little is known about smoking in university students. A 2013 survey of students aged 17-25 years found that 14% were current smokers, and 3% daily smokers. However, the sample did not include students from all NZ universities. ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032590
更新日期:2019-12-18 00:00:00
abstract:OBJECTIVES:To investigate the risk of emergency hospital admissions for violence (EHAV) associated with demographic and socioeconomic factors in Wales between 2007/2008 and 2013/2014, and to describe the site of injury causing admission. DESIGN:Database analysis of 7 years' hospital admissions using the Patient Episod...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011169
更新日期:2016-08-24 00:00:00
abstract:OBJECTIVE:To assess the 24-month cost-effectiveness of total knee replacement (TKR) plus non-surgical treatment compared with non-surgical treatment with the option of later TKR if needed. METHODS:100 adults with moderate-to-severe knee osteoarthritis found eligible for TKR by an orthopaedic surgeon in secondary care ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033495
更新日期:2020-01-15 00:00:00
abstract:BACKGROUND:A positive patient safety climate within teams has been associated with higher safety performance. The aim of this study was to describe and compare attitudes to patient safety among the various professionals in surgical teams in Swedish operating room (OR) departments. A further aim was to study nurse manag...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-015607
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:To describe the major characteristics of reported notifiable gastrointestinal illness (NGI) data in the Northwest Territories (NWT) from January 1991 through December 2008. DESIGN:Descriptive analysis of 708 reported cases of NGI extracted from the Northwest Territories Communicable Disease Registry (NWT CD...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000732
更新日期:2012-07-02 00:00:00
abstract:OBJECTIVE:To classify wear and non-wear time of accelerometer data for accurately quantifying physical activity in public health or population level research. DESIGN:A bi-moving-window-based approach was used to combine acceleration and skin temperature data to identify wear and non-wear time events in triaxial accele...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007447
更新日期:2015-05-11 00:00:00
abstract:PURPOSE:The goal of the Pregnancy, Race, Environment, Genes study was to understand how social and environmental determinants of health (SEDH), pregnancy-specific environments (PSE) and biological processes influence the timing of birth and account for the racial disparity in preterm birth. The study followed a raciall...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019721
更新日期:2018-05-09 00:00:00
abstract:OBJECTIVES:This study investigated what kinds of experiences influence regional quota (chiikiwaku) medical students' motivation to practice community healthcare (CH), and the mechanism of this influence, by focusing on their experiences in a community-based medical education (CBME) programme. DESIGN:A qualitative them...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039344
更新日期:2021-01-07 00:00:00
abstract:OBJECTIVE:There have been calls to remove 'carcinoma' from terminology for in situ cancers such as ductal carcinoma in situ (DCIS), to reduce overdiagnosis and overtreatment. We investigated the effect of describing DCIS as 'abnormal cells' versus 'pre-invasive breast cancer cells' on women's concern and treatment pref...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-008094
更新日期:2015-11-02 00:00:00
abstract:INTRODUCTION:Recurrent urinary tract infections (RUTIs) have a significant negative impact on quality of life and healthcare costs. To date, daily prophylactic antibiotics are the only treatment which have been shown to help prevent RUTIs. D-mannose is a type of sugar which is believed to inhibit bacterial adherence to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037128
更新日期:2021-01-13 00:00:00
abstract:OBJECTIVES:Estimate the prevalence of genital warts (GW) and GW-related healthcare resource use and costs among male and female patients seeking treatment in South Korea. DESIGN:To estimate GW prevalence, physicians in five major South Korean regions recorded daily logs of patients (n=71 655) seeking care between July...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-014217
更新日期:2017-07-02 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of biopsychosocial Self-Management Support (SMS) delivered by practice nurses in routine diabetes care. DESIGN:A pragmatic cluster-randomised controlled trial within a hybrid effectiveness-implementation study design. Practice nurses were cluster-randomised. SETTING:A regional ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2014-007014
更新日期:2015-06-25 00:00:00