“…Lessons derived from the experience of NOAD include the importance of clear case definition and the challenges faced by local reporters to access data about their obstetric anaesthetic services which has been highlighted elsewhere. 30 The OAA is now examining options for future data collection for key quality indicators to help drive a national quality improvement agenda in obstetric anaesthesia and for benchmarking. 31…”
Background: Data on UK obstetric anaesthetic practice between 2009 and 2014 were collected by the Obstetric Anaesthetists' Association's National Obstetric Anaesthetic Database. This database provides information on workload, variation in practice, and complication rates.
“…Lessons derived from the experience of NOAD include the importance of clear case definition and the challenges faced by local reporters to access data about their obstetric anaesthetic services which has been highlighted elsewhere. 30 The OAA is now examining options for future data collection for key quality indicators to help drive a national quality improvement agenda in obstetric anaesthesia and for benchmarking. 31…”
Background: Data on UK obstetric anaesthetic practice between 2009 and 2014 were collected by the Obstetric Anaesthetists' Association's National Obstetric Anaesthetic Database. This database provides information on workload, variation in practice, and complication rates.
“…The difficulty anaesthetists have in obtaining useful quality data on clinical outcomes, even if these outcomes are considered to be important, was highlighted by the comments received from participants during the Delphi Survey. A recent survey of lead anaesthetists in the UK found that 30% of respondents reported having insufficient resources to analyse relevant clinical data . Despite these challenges, 97% of survey respondents were enthusiastic about being able to benchmark local data against national peer data .…”
Section: Discussionmentioning
confidence: 99%
“…A recent survey of lead anaesthetists in the UK found that 30% of respondents reported having insufficient resources to analyse relevant clinical data . Despite these challenges, 97% of survey respondents were enthusiastic about being able to benchmark local data against national peer data .…”
Summary
A three‐stage Delphi survey process was undertaken to identify the quality indicators considered the most relevant to obstetric anaesthesia. The initial quality indicators assessed were derived from national peer‐reviewed publications and were divided into service provision, service quality and clinical outcomes. A range of stakeholders were invited to participate and divided into three panels: obstetric anaesthetists; other maternity care health professionals; and women who had used maternity services. In total, 133 stakeholders registered to participate with 80% completing all three phases of the survey process. Participants ranked indicators for their relative importance using the grading of recommendations assessment, development and evaluation scale. From an initial list of 31 quality indicators, 11 indicators were rated as extremely important by > 90% of participants in at least two panels. These 11 indicators were presented to stakeholders; they were asked to vote for the five indicators they considered most relevant and useful for assessing and benchmarking the quality of obstetric anaesthesia provided. The indicators chosen were: the percentage of women who had an epidural/combined spinal‐epidural for labour analgesia with accidental dural puncture; the presence of guidelines for the referral of patients to an anaesthetist for antenatal review; whether there are dedicated elective caesarean section lists; the availability of point‐of‐care testing for estimation of haemoglobin concentration; and the percentage of epidurals for labour analgesia that provided adequate pain relief within 45 min of the start of epidural insertion. These indicators may be used for quality improvement and national benchmarking to support the implementation of quality standards in obstetric anaesthesia.
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