- Medical and social results of ISO 9001 standards implementation in the perinatal centre
Medical and social results of ISO 9001 standards implementation in the perinatal centre
PERINATOLOGY AND PEDIATRIC. UKRAINE. 2018.3(75):61-65; doi 10.15574/PP.2018.75.61
Bila V. V., Ventskіvskia I. B., Zahorodnya O. S.
Perinatal Centre, Kyiv, Ukraine
Bogomolets National Medical University, Kyiv, Ukraine
Objective: to analyse the dynamics of some performance indicators of the Perinatal Centre for the period of 2013–2018 and study the possible impact of management actions on it.
Materials and methods. The performance indicators of the Perinatal Centre during the period of 2013–2016 in context of the impact on them of organizational measures were analysed, which were as follows: the length of hospital stay of the pregnant woman, the frequency of caesarean section and the structure of indications for such operation. To estimate the statistical significance of differences in indications over time, the Foster-Stewart criterion was used. To confirm the quantitative differences between the proportions of indications for caesarean section in their structure, the Kolmogorov-Smirnov test was employed.
Results. For the period 2013–2018, the bed usage intensity in the pathologic pregnancy department has decreased, which is associated with the revision and strict adherence to the indications for prenatal hospitalization of pregnant women. During the review period, the structure of caesarean sections changed both in terms of the gestational age (the proportion of premature births increased) and indications (the proportion of fetal distress and labour activity anomalies significantly decreased).
Conclusions. Against the background of retaining a stable overall rate of abdominal delivery, such changes indicate an improvement in medical care and a reduction in obstetric aggression. The obtained data evidence an important contribution of management decisions in the process of improving the medical care quality.
Key words: quality management, frequency and structure of caesarean section.
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Article received: May 07, 2018. Accepted for publication: Sep 25, 2018.