Strategies for Reducing Maternal Mortality
The maternal death rate in the United States has shown no improvement in several decades and may be increasing. On the other hand, hospital systems that have instituted comprehensive programs directed at the prevention of maternal mortality have demonstrated rates that are half of the national avera...
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Veröffentlicht in: | Seminars in perinatology 2012-02, Vol.36 (1), p.42-47 |
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description | The maternal death rate in the United States has shown no improvement in several decades and may be increasing. On the other hand, hospital systems that have instituted comprehensive programs directed at the prevention of maternal mortality have demonstrated rates that are half of the national average. These programs have emphasized the reduction of variability in the provision of care through the use of standard protocols, reliance on checklists instead of memory for critical processes, and an approach to peer review that emphasizes systems change. In addition, elimination of a small number of repetitive errors in the management of hypertension, postpartum hemorrhage, pulmonary embolism, and cardiac disease will contribute significantly to a reduction in maternal mortality. Attention to these general principles and specific error reduction strategies will be of benefit to every practitioner and more importantly to the patients we serve. |
doi_str_mv | 10.1053/j.semperi.2011.09.009 |
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On the other hand, hospital systems that have instituted comprehensive programs directed at the prevention of maternal mortality have demonstrated rates that are half of the national average. These programs have emphasized the reduction of variability in the provision of care through the use of standard protocols, reliance on checklists instead of memory for critical processes, and an approach to peer review that emphasizes systems change. In addition, elimination of a small number of repetitive errors in the management of hypertension, postpartum hemorrhage, pulmonary embolism, and cardiac disease will contribute significantly to a reduction in maternal mortality. Attention to these general principles and specific error reduction strategies will be of benefit to every practitioner and more importantly to the patients we serve.</description><subject>cesarean delivery</subject><subject>Delivery of Health Care - standards</subject><subject>Delivery of Health Care - trends</subject><subject>Female</subject><subject>Humans</subject><subject>Maternal Age</subject><subject>Maternal Health Services - standards</subject><subject>Maternal Health Services - trends</subject><subject>maternal mortality</subject><subject>Maternal Mortality - trends</subject><subject>Medical Audit</subject><subject>Neonatal and Perinatal Medicine</subject><subject>patient safety</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Cardiovascular - mortality</subject><subject>Pregnancy Complications, Cardiovascular - prevention & control</subject><subject>Pregnancy Complications, Hematologic - mortality</subject><subject>Pregnancy Complications, Hematologic - prevention & control</subject><subject>Quality Assurance, Health Care - standards</subject><subject>Quality Assurance, Health Care - trends</subject><subject>United States - epidemiology</subject><issn>0146-0005</issn><issn>1558-075X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVtr20AQhZfS0LhOfkKL3woBKTN7kbQvLcGkTSAhkAvkbVnvjsOqsuTuSgH_-0rY6UNf8jQwnDOX7zD2BSFHUOK8zhNtthRDzgExB50D6A9shkpVGZTq-SObAcoiAwB1zD6nVAMIqRE-sWPOeQVVoWbs7KGPtqeXQGmx7uLinvzgQvuyuB27sbXN4raLvW1CvzthR2vbJDo91Dl7-nn5uLzKbu5-XS8vbjInUfeZWrlCFsTVyvvClRrlSkunvESy6Dn3VooSS-mEEI7LitagZDlezLl1DoSYs2_7udvY_Rko9WYTkqOmsS11QzIaK1VqgdWoVHuli11KkdZmG8PGxp1BMBMlU5sDJTNRMqDNSGn0fT1sGFYb8v9cb1hGwY-9gMY_XwNFk1yg1pEPkVxvfBfeXfH9vwmuCW1wtvlNO0p1N0xwk0GTuAHzMEU1JYUIMEUo_gIGio6e</recordid><startdate>20120201</startdate><enddate>20120201</enddate><creator>Clark, Steven L., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120201</creationdate><title>Strategies for Reducing Maternal Mortality</title><author>Clark, Steven L., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c419t-5bc646e25bdd6c7914b94c5d41ea1d22da437174c333c248ef054707522acc033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>cesarean delivery</topic><topic>Delivery of Health Care - standards</topic><topic>Delivery of Health Care - trends</topic><topic>Female</topic><topic>Humans</topic><topic>Maternal Age</topic><topic>Maternal Health Services - standards</topic><topic>Maternal Health Services - trends</topic><topic>maternal mortality</topic><topic>Maternal Mortality - trends</topic><topic>Medical Audit</topic><topic>Neonatal and Perinatal Medicine</topic><topic>patient safety</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Cardiovascular - mortality</topic><topic>Pregnancy Complications, Cardiovascular - prevention & control</topic><topic>Pregnancy Complications, Hematologic - mortality</topic><topic>Pregnancy Complications, Hematologic - prevention & control</topic><topic>Quality Assurance, Health Care - standards</topic><topic>Quality Assurance, Health Care - trends</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clark, Steven L., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Seminars in perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clark, Steven L., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Strategies for Reducing Maternal Mortality</atitle><jtitle>Seminars in perinatology</jtitle><addtitle>Semin Perinatol</addtitle><date>2012-02-01</date><risdate>2012</risdate><volume>36</volume><issue>1</issue><spage>42</spage><epage>47</epage><pages>42-47</pages><issn>0146-0005</issn><eissn>1558-075X</eissn><abstract>The maternal death rate in the United States has shown no improvement in several decades and may be increasing. 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subjects | cesarean delivery Delivery of Health Care - standards Delivery of Health Care - trends Female Humans Maternal Age Maternal Health Services - standards Maternal Health Services - trends maternal mortality Maternal Mortality - trends Medical Audit Neonatal and Perinatal Medicine patient safety Pregnancy Pregnancy Complications, Cardiovascular - mortality Pregnancy Complications, Cardiovascular - prevention & control Pregnancy Complications, Hematologic - mortality Pregnancy Complications, Hematologic - prevention & control Quality Assurance, Health Care - standards Quality Assurance, Health Care - trends United States - epidemiology |
title | Strategies for Reducing Maternal Mortality |
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