Details

Autor(en) / Beteiligte

• Harris, Susan
• Buchinski, Bev
• Gryzbowski, Stefan
• Janssen, Patti
• Mitchell, G.W. Erle
• Farquharson, Duncan

Titel

Induction of labour: a continuous quality improvement and peer review program to improve the quality of care

Ist Teil von

• Canadian Medical Association journal, 2000-10, Vol.163 (9), p.1163

Ort / Verlag

Canada: Can Med Assoc

Erscheinungsjahr

2000

Quelle

MEDLINE

Beschreibungen/Notizen

• This article describes a program developed to improve the process of planned induction of labour and to reduce the rates of inappropriate induction. The setting is a tertiary-care maternity hospital in urban Vancouver, BC, in which 7000 deliveries take place annually. Approximately 65% of these can be considered primary care; the remainder are secondary- or tertiary-level cases. Continuous quality improvement (CQI) methods were used by a multidisciplinary team, which included nursing staff, physicians, health records personnel and a CQI facilitator. Interventions included the development of a new induction-booking process, clear criteria for induction, feedback to caregivers about changes and a peer review system to oversee and maintain improvement. The overall induction rate for the institution decreased, and this change has been maintained.