Quality care indicators for neonates with selected pathologies: pilot study.

Develop and pilot indicators of quality of care to neonates with relevant conditions in Mexico (prematurity, neonatal sepsis, perinatal asphyxia, and intrauterine hypoxia). Own indicators were built based on key recommendations of national clinical practice guidelines and indicators found in interna...

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Bibliographic Details
Published in:Salud pública de México 2019-02, Vol.61 (1), p.35-45
Main Authors: Saturno-Hernández, Pedro Jesús, Poblano-Verástegui, Ofelia, Flores-Hernández, Sergio, Ángel-García, Daniel, O Shea-Cuevas, Gabriel Jaime, Villagrán-Muñoz, Víctor Manuel, Halley-Castillo, María Elizabeth, Delgado-Sánchez, Verónica
Format: Article
Language:Spanish
Subjects:
Asphyxia Neonatorum - epidemiology
Data Accuracy
Female
Fetal Hypoxia - epidemiology
Humans
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - epidemiology
Male
Mexico - epidemiology
Neonatal Sepsis - epidemiology
Pilot Projects
Practice Guidelines as Topic
Quality Improvement
Quality Indicators, Health Care
Quality of Health Care
Reproducibility of Results
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Summary:Develop and pilot indicators of quality of care to neonates with relevant conditions in Mexico (prematurity, neonatal sepsis, perinatal asphyxia, and intrauterine hypoxia). Own indicators were built based on key recommendations of national clinical practice guidelines and indicators found in international repositories. With previous search, selection and prioritization, the indicators were piloted within two hospitals. The feasibility of measuring, (kappa index) reliability and usefulness was analyzed to detect quality problems. 23 indicators were selected and piloted, 12 are compounds, of the total, nine were feasible and reliable. The quality of the hospital's information was diverse and often poor, limiting both the feasibility and the reliability of the indicators. Improvement opportunities were identified thorough the compliance levels. A set of nine indicators valid, reliable, feasible and useful indicators is proposed in order to monitor the quality of care of pathological neonates.
ISSN:1606-7916
DOI:10.21149/9271