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[PMID]:29280844
[Au] Autor:Claffey C
[Ad] Endereço:Colleen Claffey is an ED nurse at Broward Health Coral Springs in Coral Springs, Fla.
[Ti] Título:Near-miss medication errors provide a wake-up call.
[So] Source:Nursing;48(1):53-55, 2018 Jan.
[Is] ISSN:1538-8689
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Enfermagem em Emergência
Erros de Medicação/prevenção & controle
Near Miss
Gestão de Riscos/organização & administração
[Mh] Termos MeSH secundário: Tecnologia Biomédica
Revelação
Seres Humanos
Responsabilidade Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171228
[St] Status:MEDLINE
[do] DOI:10.1097/01.NURSE.0000527615.45031.9e


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[PMID]:29229148
[Au] Autor:Hamilton EC; Pham DH; Minzenmayer AN; Austin MT; Lally KP; Tsao K; Kawaguchi AL
[Ad] Endereço:Department of Pediatric Surgery, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas; Center for Surgical Trials and Evidence-Based Practice, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, Texas.
[Ti] Título:Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery.
[So] Source:J Surg Res;221:336-342, 2018 Jan.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Electronic hospital variance reporting systems used to report near misses and adverse events are plagued by underreporting. The purpose of this study is to prospectively evaluate directly observed variances that occur in our pediatric operating room and to correlate these with the two established variance reporting systems in our hospital. MATERIALS AND METHODS: Trained individuals directly observed pediatric perioperative patient care for 6 wk to identify near misses and adverse events. These direct observations were compared to the established handwritten perioperative variance cards and the electronic hospital variance reporting system. All observations were analyzed and categorized into an additional six safety domains and five variance categories. The chi-square test was used, and P-values < 0.05 were considered statistically significant. RESULTS: Out of 830 surgical cases, 211 were audited by the safety observers. During this period, 137 (64%) near misses were identified by direct observation, while 57 (7%) handwritten and 8 (1%) electronic variance were reported. Only 1 of 137 observed events was reported in the handwritten variance system. Five directly observed adverse events were not reported in either of the two variance reporting systems. Safety observers were more likely to recognize time-out and equipment variances (P < 0.001). Both variance reporting systems and direct observation identified numerous policy and process issues. CONCLUSIONS: Despite multiple reporting systems, near misses and adverse events remain underreported. Identifying near misses may help address system and process issues before an adverse event occurs. Efforts need to be made to lessen barriers to reporting in order to improve patient safety.
[Mh] Termos MeSH primário: Near Miss/estatística & dados numéricos
Salas Cirúrgicas/estatística & dados numéricos
Segurança do Paciente
Pediatria/estatística & dados numéricos
Gestão de Riscos/utilização
[Mh] Termos MeSH secundário: Seres Humanos
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171219
[Lr] Data última revisão:
171219
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE


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Laurenti, Ruy
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:29211204
[Au] Autor:Kale PL; Jorge MHPM; Laurenti R; Fonseca SC; Silva KSD
[Ad] Endereço:Universidade Federal do Rio de Janeiro. Instituto de Estudos em Saúde Coletiva. Área de Epidemiologia e Bioestatística. Rio de Janeiro, RJ, Brasil.
[Ti] Título:Pragmatic criteria of the definition of neonatal near miss: a comparative study.
[So] Source:Rev Saude Publica;51:111, 2017 Dec 04.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: The objective of this study was to test the validity of the pragmatic criteria of the definitions of neonatal near miss, extending them throughout the infant period, and to estimate the indicators of perinatal care in public maternity hospitals. METHODS: A cohort of live births from six maternity hospitals in the municipalities of São Paulo, Niterói, and Rio de Janeiro, Brazil, was carried out in 2011. We carried out interviews and checked prenatal cards and medical records. We compared the pragmatic criteria (birth weight, gestational age, and 5' Apgar score) of the definitions of near miss of Pileggi et al., Pileggi-Castro et al., Souza et al., and Silva et al. We calculated sensitivity, specificity (gold standard: infant mortality), percentage of deaths among newborns with life-threatening conditions, and rates of near miss, mortality, and severe outcomes per 1,000 live births. RESULTS: A total 7,315 newborns were analyzed (completeness of information > 99%). The sensitivity of the definition of Pileggi-Castro et al. was higher, resulting in a higher number of cases of near miss, Souza et al. presented lower value, and Pileggi et al. and de Silva et al. presented intermediate values. There is an increase in sensitivity when the period goes from 0-6 to 0-27 days, and there is a decrease when it goes to 0-364 days. Specificities were high (≥ 97%) and above sensitivities (54% to 77%). One maternity hospital in São Paulo and one in Niterói presented, respectively, the lowest and highest rates of infant mortality, near miss, and frequency of births with life-threatening conditions, regardless of the definition. CONCLUSIONS: The definitions of near miss based exclusively on pragmatic criteria are valid and can be used for monitoring purposes. Based on the perinatal literature, the cutoff points adopted by Silva et al. were more appropriate. Periodic studies could apply a more complete definition, incorporating clinical, laboratory, and management criteria, including congenital anomalies predictive of infant mortality.
[Mh] Termos MeSH primário: Mortalidade Infantil
Nascimento Vivo
Near Miss/estatística & dados numéricos
Assistência Perinatal/estatística & dados numéricos
Morte Perinatal
[Mh] Termos MeSH secundário: Índice de Apgar
Peso ao Nascer
Brasil
Estudos Transversais
Maternidades/estatística & dados numéricos
Seres Humanos
Lactente
Recém-Nascido
Entrevistas como Assunto
Assistência Perinatal/normas
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; VALIDATION STUDIES
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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[PMID]:29076855
[Au] Autor:Barnsteiner J; Disch J
[Ad] Endereço:Jane Barnsteiner is a professor emerita at the University of Pennsylvania School of Nursing in Philadelphia, and editor of translational research and quality improvement at AJN. Joanne Disch is professor ad honorem at the University of Minnesota School of Nursing in Minneapolis. Funding for the study on which part 1 of this two-part series is based was provided by the National Council of State Boards of Nursing (grant no. 41008). Contact author: Jane Barnsteiner, barnstnr@nursing.upenn.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
[Ti] Título:Creating a Fair and Just Culture in Schools of Nursing.
[So] Source:Am J Nurs;117(11):42-48, 2017 Nov.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: In recent years, health care organizations have been moving away from a culture that responds to errors and near misses with "shame and blame" and toward a fair and just culture. Such a culture encourages and rewards people for speaking up about safety-related concerns, thus allowing the information to be used for system improvement. In part 1 of this series, we reported on findings from a study that examined how nursing schools handled student errors and near misses. We found that few nursing schools had a policy or a reporting tool concerning these events; and that when policies did exist, the majority did not reflect the principles of a fair and just culture. This article, part 2 of the series, describes several strategies that nursing schools can use for creating such a culture.
[Mh] Termos MeSH primário: Educação em Enfermagem/organização & administração
Erros Médicos/prevenção & controle
Near Miss/organização & administração
Recursos Humanos de Enfermagem no Hospital/educação
Escolas de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Papel do Profissional de Enfermagem
Pesquisa em Avaliação de Enfermagem
Estudantes de Enfermagem
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171028
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000526747.84173.97


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[PMID]:28953611
[Au] Autor:Kang HJ; Park H; Oh JM; Lee EK
[Ad] Endereço:aBig Data Steering Department, National Health Insurance Service, Wonju-si, Gangwon-do bSchool of Pharmacy, Sungkyunkwan University, Jangan-gu, Suwon-si, Gyeonggi-do cCollege of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Gwanak-gu, Seoul, Korea.
[Ti] Título:Perception of reporting medication errors including near-misses among Korean hospital pharmacists.
[So] Source:Medicine (Baltimore);96(39):e7795, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Medication errors threaten patient safety by requiring admission, readmission, and/or a longer hospital stay, and can even be fatal. Near-misses indicate the potential for medication errors to have occurred. Therefore, reporting near-misses is a first step in preventing medication errors. The aim of this study was to estimate the reporting rate of near-misses among pharmacists in Korean hospitals, and to identify the factors that contributed to reporting medication errors.We surveyed 245 pharmacists from 32 hospital pharmacies for medication errors, including near-misses. We asked them to describe their experiences of near-misses in dispensing, administration, and prescribing, and to indicate the percentage of near-misses that they reported. Additionally, we asked questions related to the perception of medication errors and barriers to reporting medication errors. These questions were grouped into 4 categories: protocol and methods of reporting, incentives and protections for reporters, attitude related to reporting, and fear. Descriptive statistics and logistic regression were conducted to analyze the data.Five or more near-misses per month were experienced by 14.8%, 4.3%, and 43.9% of respondents for dispensing, administration, and prescribing errors, respectively. The percentages of respondents who stated that they reported all near-misses involving dispensing errors, administration errors, and prescribing errors were 43.7%, 57.4%, and 37.1%, respectively. Unclear reporting protocols and the absence of harm done to patients were significant factors contributing to the failure to report medication errors (P < .05).Advances can still be made in the frequency of reporting near-misses. Clear and standardized policies and procedures are likely to increase the reporting rates.
[Mh] Termos MeSH primário: Revelação
Corpo Clínico Hospitalar
Erros de Medicação/estatística & dados numéricos
Farmacêuticos
Serviço de Farmácia Hospitalar/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Corpo Clínico Hospitalar/psicologia
Near Miss/estatística & dados numéricos
Percepção
Farmacêuticos/psicologia
República da Coreia
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007795


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[PMID]:28914621
[Au] Autor:Disch J; Barnsteiner J; Connor S; Brogren F
[Ad] Endereço:Joanne Disch is professor ad honorem at the University of Minnesota School of Nursing in Minneapolis. Jane Barnsteiner is a professor emerita at the University of Pennsylvania School of Nursing in Philadelphia, and editor of translational research and quality improvement at AJN. Susan Connor is an associate professor at the College of St. Scholastica School of Nursing, Duluth, MN. Fabiana Brogren is an executive assistant at the University of Minnesota School of Nursing. Funding for this study was provided by the National Council of State Boards of Nursing (grant no. 41008). Contact author: Joanne Disch, disch003@umn.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
[Ti] Título:CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses.
[So] Source:Am J Nurs;117(10):24-31, 2017 Oct.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:: Background: Little attention has been paid to how nursing students learn about quality and safety, and to the tools and policies that guide nursing schools in helping students respond to errors and near misses. PURPOSE: This study sought to determine whether prelicensure nursing programs have a policy for reporting and following up on student clinical errors and near misses, a tool for such reporting, a tool or process (or both) for identifying trends, strategies for follow-up with students after errors and near misses, and strategies for follow-up with clinical agencies and individual faculty members. METHODS: A national electronic survey of 1,667 schools of nursing with a prelicensure registered nursing program was conducted. Data from 494 responding schools (30%) were analyzed. RESULTS: Of the responding schools, 245 (50%) reported having no policy for managing students following a clinical error or near miss, and 272 (55%) reported having no tool for reporting student errors or near misses. CONCLUSIONS: Significant work is needed if the principles of a fair and just culture are to shape the response to nursing student errors and near misses. For nursing schools, some essential first steps are to understand the tools and policies a school has in place; the school's philosophy regarding errors and near misses; the resources needed to establish a fair and just culture; and how faculty can work together to create learning environments that eliminate or minimize the negative consequences of errors and near misses for patients, students, and faculty.
[Mh] Termos MeSH primário: Educação em Enfermagem/organização & administração
Erros Médicos/prevenção & controle
Near Miss/organização & administração
Recursos Humanos de Enfermagem no Hospital/educação
Escolas de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Pesquisa em Avaliação de Enfermagem
Fatores de Risco
Estudantes de Enfermagem
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170916
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000525849.35536.74


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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28538795
[Au] Autor:Kale PL; Mello-Jorge MHP; Silva KSD; Fonseca SC
[Ad] Endereço:Instituto de Estudos de Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
[Ti] Título:Neonatal near miss and mortality: factors associated with life-threatening conditions in newborns at six public maternity hospitals in Southeast Brazil.
[So] Source:Cad Saude Publica;33(4):e00179115, 2017 May 18.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:We aimed to evaluate factors associated with cases of neonatal near miss and neonatal deaths at six public maternity hospitals in São Paulo and Rio de Janeiro States, Brazil, in 2011. A prospective hospital-based birth cohort investigated these outcomes among live births with life-threatening conditions. Associations were tested using multinomial logistic regression models with hierarchical levels. High rates of near miss were observed for maternal syphilis (52.2‰ live births) and lack of prenatal care (80.8‰ live births). Maternal black skin color (OR = 1.9; 95%CI: 1.2-3.2), hemorrhage (OR = 2.2; 95%CI: 1.3-3.9), hypertension (OR = 3.0; 95%CI: 2.0-4.4), syphilis (OR = 3.3; 95%CI: 1.5-7.2), lack of prenatal care (OR = 5.6; 95%CI: 2.6-11.7), cesarean section and hospital, were associated with near miss; while hemorrhage (OR = 4.6; 95%CI: 1,8-11.3), lack of prenatal care (OR = 17.4; 95%CI: 6.5-46.8) and hospital, with death. Improvements in access to qualified care for pregnant women and newborns are necessary to reduce neonatal life-threatening conditions.
[Mh] Termos MeSH primário: Mortalidade Infantil
Nascimento Vivo/epidemiologia
Near Miss/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Brasil/epidemiologia
Feminino
Idade Gestacional
Maternidades
Seres Humanos
Lactente
Recém-Nascido de Baixo Peso
Recém-Nascido
Masculino
Morte Perinatal
Gravidez
Cuidado Pré-Natal
Estudos Prospectivos
Fatores de Risco
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170804
[Lr] Data última revisão:
170804
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE


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[PMID]:28500780
[Au] Autor:Khan T; Laul P; Laul A; Ramzan M
[Ad] Endereço:Department of Obstetrics and Gynaecology, Deen Dayal Upadhyay Hospital, New Delhi, India.
[Ti] Título:Prognostic factors of maternal near miss events and maternal deaths in a tertiary healthcare facility in India.
[So] Source:Int J Gynaecol Obstet;138(2):171-176, 2017 Aug.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To study maternal near miss (MNM) and maternal mortality to identify rectifiable risk factors. METHODS: The present cross-sectional retrospective study included pregnant women who experienced acute life-threatening pregnancy-related adverse events at Deen Dayal Upadhyay hospital, New Delhi, India, between September 1, 2009, and August 31, 2011. Patient data were analyzed to investigate factors associated with MNM events and maternal deaths. RESULTS: There were 369 patients included, and 302 MNM events and 67 maternal deaths were recorded. The recorded causes of MNM events included hemorrhage, hypertensive disorders, severe anemia with cardiac failure, organ failure, and infection in 192 (63.6%), 62 (20.5%), 13 (4.3%), 8 (2.6%), and 8 (2.6%) patients, respectively. Higher rates of anemia (P=0.007) and infection (P=0.007) were recorded among patients in the maternal death group than the MNMN group. CONCLUSION: Hemorrhage and hypertension were major causes of MNM events and are likely major barriers to reducing maternal mortality in low-income countries. Anemia and infection were significant prognostic factors of maternal death in the present study. MNM could be used as surrogate for maternal death in the provision of standard obstetric care.
[Mh] Termos MeSH primário: Morte Materna/estatística & dados numéricos
Mortalidade Materna
Near Miss/estatística & dados numéricos
Complicações na Gravidez/mortalidade
Atenção Terciária à Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Estudos Transversais
Feminino
Seres Humanos
Índia/epidemiologia
Gravidez
Complicações na Gravidez/epidemiologia
Prognóstico
Estudos Retrospectivos
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170514
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12208


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[PMID]:28481850
[Au] Autor:Rothenberger DA
[Ad] Endereço:Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
[Ti] Título:Physician Burnout and Well-Being: A Systematic Review and Framework for Action.
[So] Source:Dis Colon Rectum;60(6):567-576, 2017 Jun.
[Is] ISSN:1530-0358
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Physician burnout in the United States has reached epidemic proportions and is rising rapidly, although burnout in other occupations is stable. Its negative impact is far reaching and includes harm to the burned-out physician, as well as patients, coworkers, family members, close friends, and healthcare organizations. OBJECTIVE: The purpose of this review is to provide an accurate, current summary of what is known about physician burnout and to develop a framework to reverse its current negative impact, decrease its prevalence, and implement effective organizational and personal interventions. DATA SOURCES: I completed a comprehensive MEDLINE search of the medical literature from January 1, 2000, through December 28, 2016, related to medical student and physician burnout, stress, depression, suicide ideation, suicide, resiliency, wellness, and well-being. In addition, I selectively reviewed secondary articles, books addressing the relevant issues, and oral presentations at national professional meetings since 2013. STUDY SELECTION: Healthcare organizations within the United States were studied. RESULTS: The literature review is presented in 5 sections covering the basics of defining and measuring burnout; its impact, incidence, and causes; and interventions and remediation strategies. CONCLUSIONS: All US medical students, physicians in training, and practicing physicians are at significant risk of burnout. Its prevalence now exceeds 50%. Burnout is the unintended net result of multiple, highly disruptive changes in society at large, the medical profession, and the healthcare system. Both individual and organizational strategies have been only partially successful in mitigating burnout and in developing resiliency and well-being among physicians. Two highly effective strategies are aligning personal and organizational values and enabling physicians to devote 20% of their work activities to the part of their medical practice that is especially meaningful to them. More research is needed.
[Mh] Termos MeSH primário: Esgotamento Profissional/etiologia
Esgotamento Profissional/psicologia
Médicos/psicologia
[Mh] Termos MeSH secundário: Esgotamento Profissional/prevenção & controle
Assistência à Saúde/tendências
Seres Humanos
Incidência
Erros Médicos
Near Miss
Reorganização de Recursos Humanos
Autonomia Profissional
Estresse Psicológico
Suicídio
Estados Unidos
Carga de Trabalho
Local de Trabalho
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170509
[St] Status:MEDLINE
[do] DOI:10.1097/DCR.0000000000000844


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[PMID]:28391614
[Au] Autor:Abdillahi HA; Hassan KA; Kiruja J; Osman F; Egal JA; Klingberg-Allvin M; Erlandsson K
[Ad] Endereço:College of Health Science and Medicine, Faculty of Nursing and Midwifery, Hargeisa University, Hargeisa, Somaliland.
[Ti] Título:A mixed-methods study of maternal near miss and death after emergency cesarean delivery at a referral hospital in Somaliland.
[So] Source:Int J Gynaecol Obstet;138(1):119-124, 2017 Jul.
[Is] ISSN:1879-3479
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To explore maternal near miss and death after emergency cesarean delivery in Somaliland, including the impact of the prerequisite for family consent. METHODS: A facility-based, mixed-methods study was conducted to assess all maternal near misses and deaths recorded at a referral hospital that provided services to women from all regions of Somaliland. The data sources comprised a quantitative prospective cross-sectional study using the WHO near-miss tool (performed from August 1 to December 31, 2015) and qualitative interviews with 17 healthcare providers working at the referral hospital who were in direct contact with the women in labor (performed from January 15 to March 15, 2015). RESULTS: Of the 138 maternal near misses and deaths recorded, 50 (36%) were associated with emergency cesarean delivery. The most frequent maternal complication was severe pre-eclampsia (n=17; 34%), and the most frequent underlying causes were hypertensive disorders (n=31; 62%) and obstetric hemorrhage (n=15; 30%). Healthcare providers were often prevented from performing emergency cesarean delivery until the required consent had been received from the woman's extended family. CONCLUSION: Maternity care in Somaliland must be improved, and the issue of legal authority for consent examined, to ensure both safe and timely provision of emergency cesarean delivery.
[Mh] Termos MeSH primário: Cesárea/estatística & dados numéricos
Maternidades/estatística & dados numéricos
Mortalidade Materna
Near Miss/estatística & dados numéricos
Complicações na Gravidez/cirurgia
Consentimento do Representante Legal
[Mh] Termos MeSH secundário: Adulto
Djibuti/epidemiologia
Emergências/epidemiologia
Feminino
Seres Humanos
Consentimento Livre e Esclarecido
Gravidez
Complicações na Gravidez/epidemiologia
Encaminhamento e Consulta
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170410
[St] Status:MEDLINE
[do] DOI:10.1002/ijgo.12176



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde