RT Journal Article
SR Electronic
T1 Induction of labour: a continuous quality improvement and peer review program to improve the quality of care
JF Canadian Medical Association Journal
JO CMAJ
FD Canadian Medical Association
SP 1163
OP 1166
VO 163
IS 9
A1 Susan Harris
A1 Bev Buchinski
A1 Stefan Gryzbowski
A1 Patti Janssen
A1 G.W. Erle Mitchell
A1 Duncan Farquharson
YR 2000
UL http://www.cmaj.ca/content/163/9/1163.abstract
AB 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.