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Learning Session One

Learning Session One. 29 th October 2013. Maternity Quality Improvement. Format for Today. 10.10 – 11.00 – Dr A Hamilton and Dr J Cartmill – QI Methodology 11.00 – 11.30 – Ms Ann Rath – National Maternity Hospital Dublin 11.30 – 11.50 – TEA /COFFEE

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Learning Session One

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  1. Learning Session One 29th October 2013 Maternity Quality Improvement

  2. Format for Today • 10.10 – 11.00 – Dr A Hamilton and Dr J Cartmill – QI Methodology • 11.00 – 11.30 – Ms Ann Rath – National Maternity Hospital Dublin • 11.30 – 11.50 – TEA /COFFEE • 11.50 – 12.35 – Dr Mike Robson - National Maternity Hospital Dublin • 12.35 – 13.00 – Q&A session • 13.00 – 13.45 – LUNCH • 13.45 – 15.20 – Trust Presentations • 15.20 – 16.00 – Team time with Tea/coffee • 16.00 – 16.30 – Feedback and next steps

  3. Your successes to date

  4. Work in progress

  5. Strategic Context

  6. Maternity strategy in a driver diagram

  7. Sepsis Run Charts

  8. SepsisRun Charts

  9. Intermountain Healthcare Delivery Research Unit: ATP Course - Dr Brent James • Care that works • Care that is safe • Care that leaves no one behind

  10. ObstetGynecol 2009;114:1254

  11. The Gestational Age that Women Considered a Baby to be Full Term ObstetGynecol 2009;114:1254

  12. The Gestational Age that Women Considered it Safe to Deliver Weeks of Gestation ObstetGynecol 2009;114:1254

  13. Morbidity of Late Preterm Infants in Massachusetts • Late preterm infants: 22.2%vs Term infants: 3% • Sample: Term (377,638), Late Preterm (26,170) • Morbidity rates doubled for each gestational week earlier than 38 weeks 40 wks: 2.5% 39 wks: 2.6% 38 wks: 3.3% 37 wks: 5.9% 36 wks: 12.1% 35 wks: 25.6% 34 wks: 51.9% Shapiro-Mendoza CK et al. Effect of late-preterm birth and maternal medical conditions on newborn morbidity risk.Pediatrics.2008;121:e223–e232

  14. NICU Admissions By Weeks Gestation Deliveries Without Complications, 2000-2003 NICU Admissions Oshiro et al. ObstetGynecol 2009;113:804-811.

  15. RDS By Weeks GestationDeliveries Without Complications, 2000-2003 RDS Oshiro et al. ObstetGynecol 2009;113:804-811.

  16. What Do We Need to Get Started? MAP-IT • Mobilize • Assess • Plan • Implement • Track Guidry, M., Vischi, T., Han, R., & Passons, O. Healthy people in healthy communities: A community planning guide using healthy people 2010. Washington, D.C.: U.S. Department of Health and Human Services. The Office of Disease Prevention and Health Promotion.

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