Adverse outcomes in maternity care for women with a low risk profile in The Netherlands: a case series analysis.

ABSTRACT:

Background

This study aimed to perform a structural analysis of determinants of risk of critical incidents in care for women with a low risk profile at the start of pregnancy with a view on improving patient safety.

Methods

We included 71 critical incidents in primary midwifery care and subsequent hospital care in case of referral after 36 weeks of pregnancy that were related to substandard care and for that reason were reported to the Health Care Inspectorate in The Netherlands in 36 months (n = 357). We performed a case-by-case analysis, using a previously validated instrument which covered five broad domains: healthcare organization, communication between healthcare providers, patient risk factors, clinical management, and clinical outcomes.

Results

Determinants th

SUBMITTER: Martijn L 

PROVIDER: S-EPMC4219453 | biostudies-literature | 2013 Nov

REPOSITORIES: biostudies-literature