Room for improvement in maternity care

Abstract

Lars Thomas Johansen er spesialist i fødselshjelp og kvinnesykdommer og seniorrådgiver i Statens helsetilsyn. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Geir Sverre Braut er spesialist i samfunnsmedisin og ansa ved Stavanger universitetssjukehus. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.Pål Øian er spesialist i fødselshjelp og kvinnesykdommer, professor emeritus og tidligere overlege ved Universitetssykehuset Nord-Norge. Forfa eren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter.

Tools for establishing a sustainable safety culture within maternity services. A retrospective case study

“…14 Investigations of possible areas for improvement show that a stronger focus from the managers should be given for quality assurance. 22 The national action plan for patient safety and quality improvement reflects the same recommendations and requirements. 7 This study concerns one single maternity unit.…”

“…21 A recent article on adverse events in maternity care in Norway argues that approximately half of the events were preventable. 22 The authors question why similar types of events happen repeatedly and what the underlying causes of substandard care might be. Adequate professional standards are regarded as key factors for quality assurance and patient safety, which is the responsibility of the executive management.…”

Preventing Adverse Maternal and Perinatal Events from Obstetric Interventions Given Women at Childbirth in Al-Sadaka Teaching Hospital, Aden, Yemen

“…However, much less is known about the burden of unsafe care in non-hospital settings, which provide the majority of health-care services globally . Even more importantly, there is very little evidence about the burden of unsafe care in developing countries, like Yemen, where there is likely to be an even greater risk of harm to patients due to limitations in infrastructure, technologies and human resources [7]. Many authors described the human factors influencing the occurrences of adverse effect.…”

The Prevalence of Childbirth Adverse Events (AEs) and Related Factors among Yemeni Mothers and Newborns, Al-Sadaka Teaching Hospital, Aden, Yemen: A Hospital-based Cross-sectional Study

“…Every day in 2017, approximately 810 women died from preventable causes related to pregnancy and childbirth resulting from lack of skilled health care personnel for antenatal, delivery and postnatal care [5]. The vast majority of maternal deaths are due to direct obstetric complications such as hemorrhage, sepsis, complications of abortion, hypertensive disorders of pregnancy, prolonged/obstructed labor, ruptured uterus and ectopic pregnancy [6].…”

“…There is very little evidence about the burden of unsafe care in developing countries, where there is likely to be an even greater risk of harm to patients due to limitations in infrastructure, technologies and human resources [6]. Studies conducted by the World Health Organization in developing countries suggest that patients are placed in great danger of medical device adverse events owing to poorly maintained or improperly replaced medical equipment [7].…”