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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Seminars in perinatology 2012-02, Vol.36 (1), p.42-47
1. Verfasser: Clark, Steven L., MD
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 47
container_issue 1
container_start_page 42
container_title Seminars in perinatology
container_volume 36
creator Clark, Steven L., MD
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
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_918579318</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0146000511001558</els_id><sourcerecordid>918579318</sourcerecordid><originalsourceid>FETCH-LOGICAL-c419t-5bc646e25bdd6c7914b94c5d41ea1d22da437174c333c248ef054707522acc033</originalsourceid><addsrcrecordid>eNqFkVtr20AQhZfS0LhOfkKL3woBKTN7kbQvLcGkTSAhkAvkbVnvjsOqsuTuSgH_-0rY6UNf8jQwnDOX7zD2BSFHUOK8zhNtthRDzgExB50D6A9shkpVGZTq-SObAcoiAwB1zD6nVAMIqRE-sWPOeQVVoWbs7KGPtqeXQGmx7uLinvzgQvuyuB27sbXN4raLvW1CvzthR2vbJDo91Dl7-nn5uLzKbu5-XS8vbjInUfeZWrlCFsTVyvvClRrlSkunvESy6Dn3VooSS-mEEI7LitagZDlezLl1DoSYs2_7udvY_Rko9WYTkqOmsS11QzIaK1VqgdWoVHuli11KkdZmG8PGxp1BMBMlU5sDJTNRMqDNSGn0fT1sGFYb8v9cb1hGwY-9gMY_XwNFk1yg1pEPkVxvfBfeXfH9vwmuCW1wtvlNO0p1N0xwk0GTuAHzMEU1JYUIMEUo_gIGio6e</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>918579318</pqid></control><display><type>article</type><title>Strategies for Reducing Maternal Mortality</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Clark, Steven L., MD</creator><creatorcontrib>Clark, Steven L., MD</creatorcontrib><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.</description><identifier>ISSN: 0146-0005</identifier><identifier>EISSN: 1558-075X</identifier><identifier>DOI: 10.1053/j.semperi.2011.09.009</identifier><identifier>PMID: 22280865</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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 &amp; control ; Pregnancy Complications, Hematologic - mortality ; Pregnancy Complications, Hematologic - prevention &amp; control ; Quality Assurance, Health Care - standards ; Quality Assurance, Health Care - trends ; United States - epidemiology</subject><ispartof>Seminars in perinatology, 2012-02, Vol.36 (1), p.42-47</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c419t-5bc646e25bdd6c7914b94c5d41ea1d22da437174c333c248ef054707522acc033</citedby><cites>FETCH-LOGICAL-c419t-5bc646e25bdd6c7914b94c5d41ea1d22da437174c333c248ef054707522acc033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0146000511001558$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22280865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Clark, Steven L., MD</creatorcontrib><title>Strategies for Reducing Maternal Mortality</title><title>Seminars in perinatology</title><addtitle>Semin Perinatol</addtitle><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.</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 &amp; control</subject><subject>Pregnancy Complications, Hematologic - mortality</subject><subject>Pregnancy Complications, Hematologic - prevention &amp; 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 &amp; control</topic><topic>Pregnancy Complications, Hematologic - mortality</topic><topic>Pregnancy Complications, Hematologic - prevention &amp; 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. 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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>22280865</pmid><doi>10.1053/j.semperi.2011.09.009</doi><tpages>6</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0146-0005
ispartof Seminars in perinatology, 2012-02, Vol.36 (1), p.42-47
issn 0146-0005
1558-075X
language eng
recordid cdi_proquest_miscellaneous_918579318
source MEDLINE; Elsevier ScienceDirect Journals
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
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T22%3A36%3A00IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Strategies%20for%20Reducing%20Maternal%20Mortality&rft.jtitle=Seminars%20in%20perinatology&rft.au=Clark,%20Steven%20L.,%20MD&rft.date=2012-02-01&rft.volume=36&rft.issue=1&rft.spage=42&rft.epage=47&rft.pages=42-47&rft.issn=0146-0005&rft.eissn=1558-075X&rft_id=info:doi/10.1053/j.semperi.2011.09.009&rft_dat=%3Cproquest_cross%3E918579318%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=918579318&rft_id=info:pmid/22280865&rft_els_id=1_s2_0_S0146000511001558&rfr_iscdi=true