Effect of implementation of the MORE
Adult
Delivery, Obstetric
/ statistics & numerical data
Female
Health Plan Implementation
Hospitals
/ statistics & numerical data
Humans
Incidence
Infant, Newborn
Logistic Models
Multivariate Analysis
Ontario
/ epidemiology
Pregnancy
Pregnancy Outcome
/ epidemiology
Program Evaluation
Retrospective Studies
Young Adult
Adverse outcomes
Obstetrics
Outcome evaluation
Patient safety
Safety culture
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
03 May 2019
03 May 2019
Historique:
received:
01
11
2018
accepted:
12
04
2019
entrez:
5
5
2019
pubmed:
6
5
2019
medline:
25
12
2019
Statut:
epublish
Résumé
In 2002, the MORE A retrospective cohort study, using province-wide administrative hospitalization data. We included maternal and neonatal records between fiscal years 2002-2003 and 2013-2014, for deliveries taking place at the 67 Ontario hospitals where the MORE Across the 12 years of follow up, there were 98,789 adverse maternal and neonatal outcomes, a rate of 6.83 per 100 deliveries (6.66 per 100 occurring before, 6.91 per 100 during, and 6.84 per 100 after program implementation). The multivariable analysis found no statistically significant decrease in adverse events associated with program implementation (OR for adverse events after versus before =1.11 (95% CI: 1.06 to 1.17, change in mean WAOS score after minus before =0.15 (- 0.36 to 0.67)). We did not find a reduction in the incidence of maternal and neonatal adverse outcomes associated with the MORE
Sections du résumé
BACKGROUND
BACKGROUND
In 2002, the MORE
METHODS
METHODS
A retrospective cohort study, using province-wide administrative hospitalization data. We included maternal and neonatal records between fiscal years 2002-2003 and 2013-2014, for deliveries taking place at the 67 Ontario hospitals where the MORE
RESULTS
RESULTS
Across the 12 years of follow up, there were 98,789 adverse maternal and neonatal outcomes, a rate of 6.83 per 100 deliveries (6.66 per 100 occurring before, 6.91 per 100 during, and 6.84 per 100 after program implementation). The multivariable analysis found no statistically significant decrease in adverse events associated with program implementation (OR for adverse events after versus before =1.11 (95% CI: 1.06 to 1.17, change in mean WAOS score after minus before =0.15 (- 0.36 to 0.67)).
CONCLUSIONS
CONCLUSIONS
We did not find a reduction in the incidence of maternal and neonatal adverse outcomes associated with the MORE
Identifiants
pubmed: 31053113
doi: 10.1186/s12884-019-2296-5
pii: 10.1186/s12884-019-2296-5
pmc: PMC6500060
doi:
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
151Références
Fam Pract. 2000 Feb;17 Suppl 1:S11-6
pubmed: 10735262
BMC Med Res Methodol. 2006 Nov 08;6:54
pubmed: 17092344
Obstet Gynecol. 2007 Jan;109(1):48-55
pubmed: 17197587
Jt Comm J Qual Patient Saf. 2006 Sep;32(9):497-505
pubmed: 17987873
Am J Obstet Gynecol. 2009 May;200(5):492.e1-8
pubmed: 19249729
J Obstet Gynaecol Can. 2010 Aug;32(8):749-55
pubmed: 21050506
J Obstet Gynaecol Can. 2010 Sep;32(9):847-855
pubmed: 21050517
J Am Board Fam Med. 2011 Sep-Oct;24(5):589-96
pubmed: 21900443
J R Soc Med. 2011 Dec;104(12):510-20
pubmed: 22179294
J Epidemiol Community Health. 2012 Dec;66(12):1182-6
pubmed: 22577181
Best Pract Res Clin Obstet Gynaecol. 2013 Aug;27(4):563-9
pubmed: 23642351
Obstet Gynecol. 2013 Nov;122(5):957-65
pubmed: 24104771
J Obstet Gynaecol Can. 2014 Jan;36(1):21-33
pubmed: 24444284
Am J Obstet Gynecol. 2014 Oct;211(4):319-25
pubmed: 24925798
Health Res Policy Syst. 2015 Jan 01;13:1
pubmed: 25552353
BJOG. 2015 Dec;122(13):1748-55
pubmed: 25559311
Matern Child Health J. 2015 Dec;19(12):2688-97
pubmed: 26169814
CMAJ. 2015 Oct 20;187(15):1125-1132
pubmed: 26303244
BMJ Qual Saf. 2016 May;25(5):303-10
pubmed: 26442789
BMJ Open. 2018 Jul 6;8(7):e020170
pubmed: 29982200
BMJ Open. 2018 Aug 5;8(8):e021670
pubmed: 30082355
J Interprof Care. 2018 Nov 8;:1-9
pubmed: 30407883