Document Detail

Reliability of a preventability model in maternal death and morbidity.
MedLine Citation:
PMID:  17240234     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to measure the reliability of a model that defines preventability in maternal morbidity and death. STUDY DESIGN: One hundred cases of serious morbidity and death among peripartum women were reviewed by 2 independent groups of medical experts to identify potentially preventable provider or system events that may have led to the progression of illness. RESULTS: Seventy-seven percent of the cases had concordant findings in both groups regarding the identification of any preventable events. Interrater agreement, which was measured by Cohen's Kappa, was 0.49, which suggests moderate to good reliability. Cases with multiple comorbidities, poor documentation, or preventable patient factors tended to have higher levels of disagreement. CONCLUSION: There was high agreement between the 2 groups regarding the identification of preventable events that impact maternal morbidity and death. The reliability of this model for the assessment of preventability is an important step for improvement in obstetric and medical care.
Stacie E Geller; Marci G Adams; Michelle A Kominiarek; Judith U Hibbard; Loraine K Endres; Suzanne M Cox; Sarah J Kilpatrick
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  196     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-01-22     Completed Date:  2007-03-08     Revised Date:  2007-11-09    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  57.e1-6     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, College of Medicine, University of Illinois at Chicago, Chicago, IL 60612, USA.
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MeSH Terms
Maternal Mortality*
Models, Statistical*
Pregnancy Complications / epidemiology*,  prevention & control*
Reproducibility of Results
Comment In:
Am J Obstet Gynecol. 2007 Oct;197(4):440; author reply 440-1   [PMID:  17905000 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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