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CMAJ • October 31, 2000; 163 (9)
© 2000 Canadian Medical Association or its licensors

Review
Synthèse

Induction of labour: a continuous quality improvement and peer review program to improve the quality of care

Susan Harris, Bev Buchinski, Stefan Gryzbowski, Patti Janssen, G.W. Erle Mitchell and Duncan Farquharson

Dr. Harris is Medical Program Director of the Birthing Program, Dr. Farquharson is Medical Director of the Birthing Program, and Ms. Buchinski is Team Leader and Perinatal Clinical Educator, Diagnostic and Ambulatory Program, British Columbia's Women's Hospital and Health Centre; Dr. Gryzbowski is Director of Research, Department of Family Practice, University of British Columbia; Dr. Janssen is an epidemiologist with the Centre for Evaluation Sciences; Dr. Mitchell is an obstetrician in Vancouver, BC. All authors are affiliated with British Columbia's Women's Hospital and Health Centre, a part of Children's & Women's Health Centre of British Columbia, Vancouver, BC.

Abstract

THIS ARTICLE DESCRIBES A PROGRAM DEVELOPED TO IMPROVE the process of planned induction of labour and to reduce the rates of inappropriate induction. The setting is a tertiary-care maternity hospital in urban Vancouver, BC, in which 7000 deliveries take place annually. Approximately 65% of these can be considered primary care; the remainder are secondary- or tertiary-level cases. Continuous quality improvement (CQI) methods were used by a multidisciplinary team, which included nursing staff, physicians, health records personnel and a CQI facilitator. Interventions included the development of a new induction-booking process, clear criteria for induction, feedback to caregivers about changes and a peer review system to oversee and maintain improvement. The overall induction rate for the institution decreased, and this change has been maintained.




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C. Ramsay, L. Matowe, J. Ward, and J. Grimshaw
Reducing the rates of inappropriate labour induction
Can. Med. Assoc. J., April 1, 2001; 164(8): 1128 - 1128.
[Full Text] [PDF]

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S. Harris, S. Grzybowski, and P. Janssen
Reducing the rates of inappropriate labour induction
Can. Med. Assoc. J., April 1, 2001; 164(8): 1128 - 1129.
[Full Text]

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Corrections
Can. Med. Assoc. J., January 1, 2001; 164(1): 16 - 16.
[Full Text]