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dc.contributor.authorHaddad, Samira El Maerrawi Tebecheranept_BR
dc.contributor.authorCecatti, Jose Guilhermept_BR
dc.contributor.authorSouza, João Paulo Dias dept_BR
dc.contributor.authorSousa, Maria Helena dept_BR
dc.contributor.authorParpinelli, Mary Angelapt_BR
dc.contributor.authorNascimento, Maria Laura Costa dopt_BR
dc.contributor.authorPacagnella, Rodolfo de Carvalhopt_BR
dc.contributor.authorBrum, Ione Rodriguespt_BR
dc.contributor.authorMoraes Filho, Olimpio Barbosa dept_BR
dc.contributor.authorFeitosa, Francisco Edson de Lucenapt_BR
dc.contributor.authorMenezes, Carlos Augusto Santos dept_BR
dc.contributor.authorGuanabara, Everardo de Macedopt_BR
dc.contributor.authorMoreira, Joaquim Luiz de Castropt_BR
dc.contributor.authorPeret, Frederico Jose Amedeept_BR
dc.contributor.authorSchmaltz, Luiza Emylce Pelá Rosadopt_BR
dc.contributor.authorKatz, Leilapt_BR
dc.contributor.authorLima, Antonio Carlos Fernandes Barbosapt_BR
dc.contributor.authorAmorim, Melania Maria Ramos dept_BR
dc.contributor.authorMartins, Marília da Glóriapt_BR
dc.contributor.authorNascimento, Dênis Josépt_BR
dc.contributor.authorPaiva, Cláudio Sérgio Medeirospt_BR
dc.contributor.authorRohloff, Roger Dennispt_BR
dc.contributor.authorCosta, Sergio Hofmeister de Almeida Martinspt_BR
dc.contributor.authorLuz, Adriana Gomespt_BR
dc.contributor.authorAzevedo, Gustavo Lobato dept_BR
dc.contributor.authorCordioli, Eduardopt_BR
dc.contributor.authorPeraçoli, Jose Carlospt_BR
dc.contributor.authorMaia Filho, Nelson Lourençopt_BR
dc.contributor.authorQuintana, Silvana Mariapt_BR
dc.contributor.authorLotufo, Fátima Aparecida Henriquept_BR
dc.contributor.authorPolido, Carla Betina Andreuccipt_BR
dc.contributor.authorAquino, Marcia Maria Auxiliadora dept_BR
dc.contributor.authorMattar, Rosianept_BR
dc.date.accessioned2017-06-20T02:33:52Zpt_BR
dc.date.issued2014pt_BR
dc.identifier.issn2314-6141pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/159790pt_BR
dc.description.abstractObjective. To assess quality of care of women with severe maternal morbidity and to identify associated factors. Method. This is a national multicenter cross-sectional study performing surveillance for severe maternal morbidity, using the World Health Organization criteria. The expected number of maternal deaths was calculated with the maternal severity index (MSI) based on the severity of complication, and the standardized mortality ratio (SMR) for each center was estimated. Analyses on the adequacy of care were performed. Results. 17 hospitals were classified as providing adequate and 10 as nonadequate care. Besides almost twofold increase inmaternalmortality ratio, themain factors associated with nonadequate performance were geographic difficulty in accessing health services (𝑃 < 0.001), delays related to quality of medical care (𝑃 = 0.012), absence of blood derivatives (𝑃 = 0.013), difficulties of communication between health services (𝑃 = 0.004), and any delay during thewhole process (𝑃 = 0.039). Conclusions. This is an example of how evaluation of the performance of health services is possible, using a benchmarking tool specific to Obstetrics. In this study the MSI was a useful tool for identifying differences in maternal mortality ratios and factors associated with nonadequate performance of care.en
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofBiomed Research International. New York. Volume 2014 (2014), ID 989815, 10 p.pt_BR
dc.rightsOpen Accessen
dc.subjectComplicações na gravidezpt_BR
dc.subjectMortalidade maternapt_BR
dc.subjectServiços de saúde maternapt_BR
dc.titleApplying the maternal near miss approach for the evaluation of quality of obstetric care : a worked example from a multicenter surveillance studypt_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb001016858pt_BR
dc.type.originEstrangeiropt_BR


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