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Measuring the impact of a quality improvement collaboration to decrease maternal mortality in a Ghanaian regional hospital

To evaluate the performance of a continuous quality improvement collaboration at Ridge Regional Hospital, Accra, Ghana, that aimed to halve maternal and neonatal deaths. In a quasi-experimental, pre- and post-intervention analysis, system deficiencies were analyzed and 97 improvement activities were... Full description

Journal Title: International Journal of Gynecology and Obstetrics August 2016, Vol.134(2), pp.181-185
Main Author: Srofenyoh, Emmanuel K
Other Authors: Kassebaum, Nicholas J , Goodman, David M , Olufolabi, Adeyemi J , Owen, Medge D
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0020-7292 ; E-ISSN: 1879-3479 ; DOI: 10.1016/j.ijgo.2015.11.026
Link: https://www.sciencedirect.com/science/article/pii/S0020729216300868
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recordid: elsevier_sdoi_10_1016_j_ijgo_2015_11_026
title: Measuring the impact of a quality improvement collaboration to decrease maternal mortality in a Ghanaian regional hospital
format: Article
creator:
  • Srofenyoh, Emmanuel K
  • Kassebaum, Nicholas J
  • Goodman, David M
  • Olufolabi, Adeyemi J
  • Owen, Medge D
subjects:
  • Case Fatality Rates
  • Maternal Mortality
  • Quality Improvement
  • Risk Adjustment
  • Sub-Saharan Africa
  • Medicine
ispartof: International Journal of Gynecology and Obstetrics, August 2016, Vol.134(2), pp.181-185
description: To evaluate the performance of a continuous quality improvement collaboration at Ridge Regional Hospital, Accra, Ghana, that aimed to halve maternal and neonatal deaths. In a quasi-experimental, pre- and post-intervention analysis, system deficiencies were analyzed and 97 improvement activities were implemented from January 2007 to December 2011. Data were collected on outcomes and implementation rates of improvement activities. Severity-adjustment models were used to calculate counterfactual mortality ratios. Regression analysis was used to determine the association between improvement activities, staffing, and maternal mortality. Maternal mortality decreased by 22.4% between 2007 and 2011, from 496 to 385 per 100 000 deliveries, despite a 50% increase in deliveries and five- and three-fold increases in the proportion of pregnancies complicated by obstetric hemorrhage and hypertensive disorders of pregnancy, respectively....
language: eng
source:
identifier: ISSN: 0020-7292 ; E-ISSN: 1879-3479 ; DOI: 10.1016/j.ijgo.2015.11.026
fulltext: fulltext
issn:
  • 0020-7292
  • 00207292
  • 1879-3479
  • 18793479
url: Link


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titleMeasuring the impact of a quality improvement collaboration to decrease maternal mortality in a Ghanaian regional hospital
creatorSrofenyoh, Emmanuel K ; Kassebaum, Nicholas J ; Goodman, David M ; Olufolabi, Adeyemi J ; Owen, Medge D
ispartofInternational Journal of Gynecology and Obstetrics, August 2016, Vol.134(2), pp.181-185
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subjectCase Fatality Rates ; Maternal Mortality ; Quality Improvement ; Risk Adjustment ; Sub-Saharan Africa ; Medicine
descriptionTo evaluate the performance of a continuous quality improvement collaboration at Ridge Regional Hospital, Accra, Ghana, that aimed to halve maternal and neonatal deaths. In a quasi-experimental, pre- and post-intervention analysis, system deficiencies were analyzed and 97 improvement activities were implemented from January 2007 to December 2011. Data were collected on outcomes and implementation rates of improvement activities. Severity-adjustment models were used to calculate counterfactual mortality ratios. Regression analysis was used to determine the association between improvement activities, staffing, and maternal mortality. Maternal mortality decreased by 22.4% between 2007 and 2011, from 496 to 385 per 100 000 deliveries, despite a 50% increase in deliveries and five- and three-fold increases in the proportion of pregnancies complicated by obstetric hemorrhage and hypertensive disorders of pregnancy, respectively....
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