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(Development and validation of indicators relating to the quality of prevention and early management of postpartum haemorrhage (COMPAQ-HPST research project)).
Messarat-Haddouche Z., Leleu H., Nitenberg G., Couralet M., Minvielle E., Goffinet F.
Journal de Gynécologie Obstétrique et Biologie de la Reproduction 41, 3 (2012) 271-8 - http://www.hal.inserm.fr/inserm-00698492
(22386649)
[Development and validation of indicators relating to the quality of prevention and early management of postpartum haemorrhage (COMPAQ-HPST research project)].
Zineb Messarat-Haddouche () 1, Henri Leleu1, Gérard Nitenberg1, Mélanie Couralet1, Etienne Minvielle1, François Goffinet2
1 :  C.O.M.P.A.Q. (hpst) - COordination pour la Mesure de la Performance et l'Amélioration de la Qualité ( Hôpital, Patient, Sécurité, Territoire)
INSERM – Institut de Cancérologie Gustave Roussy
114 rue Edouard Vaillant 94805 Villejuif
France
2 :  Maternité de Port-Royal
Groupe Hospitalier Broca-Cochin-Saint Vincent De Paul-Hôtel Dieu – Université Paris V - Paris Descartes – Assistance publique - Hôpitaux de Paris (AP-HP)
123 Bd de Port-Royal 75014 Paris
France
quality indicators and post-partum haemorrhage
OBJECTIVES: To develop and validate a set of quality indicators (QIs) relating to the prevention and early management of postpartum haemorrhage (PPH) in maternity wards. The ultimate aim was to use these QIs for hospital comparison and public diffusion of results. MATERIALS AND METHODS: In 2009, COMPAQ-HPST developed a set of five QIs from consensus guidelines with the aid of experts and professional associations, relating to: i) the prevention of PH (three QIs) and ii) the initial management of PPH (two QIs). We also tested a questionnaire about the presence of written protocols in maternity wards. RESULTS: Ninety-seven voluntary maternity wards were included in the study. All five QIs showed wide variations in implementation among hospitals, revealing substantial room for improvement. Results of the questionnaire were variable according to the item considered. CONCLUSION: We validated five process QIs relating to the prevention and early management of PPH. All these five QIs have been transmitted to HAS for nationwide generalization. They should allow hospitals to implement quality of care improvement in this setting, adapted to their individual and comparative results.
Sciences du Vivant/Santé publique et épidémiologie
Français
0368-2315

Articles dans des revues avec comité de lecture
10.1016/j.jgyn.2012.01.009
Journal de Gynécologie Obstétrique et Biologie de la Reproduction (J Gynecol Obstet Biol Reprod (Paris))
Publisher Elsevier Masson
ISSN 0368-2315 
internationale
05/2012
02/03/2012
41
3
271-8

quality indicators – Post-partum Haemorrhage – quality improvement
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