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Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity.

Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. 2022;139(6):1061-1069. doi: 10.1097/aog.0000000000004806

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July 6, 2022
Howell EA, Sofaer S, Balbierz A, et al. Obstet Gynecol. 2022;139(6):1061-1069.

Health equity in maternal safety is a major patient safety goal. Researchers interviewed health care professionals, including frontline nurses and physicians, chief medical officers, and quality and safety officers, from high- and low-performing hospitals. Six themes emerged differentiating high and low performers: 1) senior leadership involved in day-to-day quality activities and dedicated to quality improvement, 2) a strong focus on standards and standardized care, 3) strong nurse-physician communication and teamwork, 4) adequate physician and nurse staffing and supervision, 5) sharing of performance data with nurses and other frontline clinicians, and 6) explicit awareness that racial and ethnic disparities exist and that racism and bias in the hospital can lead to differential treatment. PSNet offers a Patient Safety Primer and Curated Library on maternal safety.

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Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. 2022;139(6):1061-1069. doi: 10.1097/aog.0000000000004806