Inter-hospital variations in health outcomes in childbirth care in Sweden: a register-based study

The objective of this study was to estimate case mix adjusted variations in central indicators of health outcomes in childbirth care and to assess whether hospitals who perform well on one indicator also perform well on others. Register-based study using regional administrative data, linked to clini...

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Veröffentlicht in:	International journal for quality in health care 2019-05, Vol.31 (4), p.276-282
Hauptverfasser:	Mesterton, Johan, Brommels, Mats, Ladfors, Lars, Lindgren, Peter, Amer-Wåhlin, Isis
Format:	Artikel
Sprache:	eng
Schlagworte:	Healthcare quality improvement Medicin och hälsovetenskap Obstetrics and gynaecologist Obstetrics, Gynecology and Reproductive Medicine Patient safety Performance measures Quality measurement Reproduktionsmedicin och gynekologi
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Zusammenfassung:	The objective of this study was to estimate case mix adjusted variations in central indicators of health outcomes in childbirth care and to assess whether hospitals who perform well on one indicator also perform well on others. Register-based study using regional administrative data, linked to clinical data and population data. Twenty-one hospitals in seven Swedish regions covering 67% of deliveries in Sweden. The study included 139 756 women who gave birth in 2011 and 2012. N/A. Four indicators of health outcomes were studied: obstetric anal sphincter injuries (OASIS), haemorrhage >1000 ml, postpartum infection and Apgar
ISSN:	1353-4505 1464-3677 1464-3677
DOI:	10.1093/intqhc/mzy153