
The national perinatal patient safety programme : the challenges of implementation and evaluation
Charlotte Millde Luthander
Bok · Engelsk · 2016
Utgitt | Stockholm : Karolinska Institutet , 2016
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Omfang | 85 s.
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Opplysninger | Background: Factors resulting in suboptimal care might be avoided by training and increased risk awareness. The Swedish Perinatal Patient Safety (PPS) programme was initiated in 2008 and a web-based CTG learning programme was launched in 2009. The objective of this thesis was to evaluate the impact and effects of a national programme to improve safety for the newborn by studying how the interventions affected professional teams, their knowledge in assessing cardiotochography, and by exploring local improvement efforts, as well as perinatal outcomes, before and after the main intervention i.e. the PPS programme. Conclusions: Extensive improvement efforts have been made in all obstetric units in Sweden. However, our results show that there are still gaps in delivery care that need improvement. When investing time and resources in multifaceted projects, it is crucial to evaluate results in order to assess the benefits of the intervention and at the same time, understand facilitating and restricting features of implementation. Evaluation, however, is challenging in large-scale quality improvements with a diversity of actors interacting in complex environments that are constantly changing. To secure a variety of evidencebased process and outcome measures already when planning the project, improves the chances of successful evaluation. Then it will be possible to continuously follow-up adherence and measure reliability in care processes.
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ISBN | 978-91-7676-311-7
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