Impact of Consultant Obstetric Presence on Serious Incidents.Citation formats

Standard

Impact of Consultant Obstetric Presence on Serious Incidents. / Shawer, Sherif; Rowbotham, Shirley; Heazell, Alexander; Kelly, Teresa; Vause, Sarah.

In: International Journal of Health Governance, 27.02.2019.

Research output: Contribution to journalArticle

Harvard

Shawer, S, Rowbotham, S, Heazell, A, Kelly, T & Vause, S 2019, 'Impact of Consultant Obstetric Presence on Serious Incidents.' International Journal of Health Governance.

APA

Shawer, S., Rowbotham, S., Heazell, A., Kelly, T., & Vause, S. (Accepted/In press). Impact of Consultant Obstetric Presence on Serious Incidents. International Journal of Health Governance.

Vancouver

Shawer S, Rowbotham S, Heazell A, Kelly T, Vause S. Impact of Consultant Obstetric Presence on Serious Incidents. International Journal of Health Governance. 2019 Feb 27.

Author

Shawer, Sherif ; Rowbotham, Shirley ; Heazell, Alexander ; Kelly, Teresa ; Vause, Sarah. / Impact of Consultant Obstetric Presence on Serious Incidents. In: International Journal of Health Governance. 2019.

Bibtex

@article{76d93b9d3d57438f9be9fc1fada57534,
title = "Impact of Consultant Obstetric Presence on Serious Incidents.",
abstract = "Purpose - Many organisations, including the Royal College of Obstetricians andGynaecologists, have recommended increasing the number of hours of consultant obstetric presence in UK National Health Service maternity units to improve patient care. St Mary’s Hospital, Manchester implemented 24-7 consultant presence in September 2014.Design/Methodology – To assess the impact of 24-7 consultant presence upon women and babies, a retrospective review of all serious clinical intrapartum incidents occurring between September 2011 and September 2017 was carried out by two independent reviewers; disagreements in classification were reviewed by a senior Obstetrician. The impact of consultant presence was classified in a structure agreed a priori.Findings – A total of 72 incidents were reviewed. Consultants were directly involved in the care of 75.6{\%} of cases before 24-7 consultant presence compared to 96.8{\%} afterwards. Negative impact due to a lack of consultant presence fell from 22{\%} of the incidents before 24-7 consultant presence to 9.7{\%} after implementation. In contrast, positive impact of consultant presence increased from 14.6{\%} to 32.3{\%} following the introduction of 24-7 consultant presence.Practical Implications – Introduction of 24-7 consultant presence reduced the negative impact caused by a lack of, or delay in, consultant presence as identified by serious untoward incident reviews. Consultant presence was more likely to have a positive influenceon care delivery.Originality/Value – This is the first assessment of the impact of 24-7 consultant presence on the serious untoward incidents in obstetrics.",
keywords = "Obstetrics, Midwifery, Adverse events or outcomes, Patient safety, Clinical effectiveness, Teamwork",
author = "Sherif Shawer and Shirley Rowbotham and Alexander Heazell and Teresa Kelly and Sarah Vause",
year = "2019",
month = "2",
day = "27",
language = "English",
journal = "International Journal of Health Governance",
issn = "2059-4631",
publisher = "Emerald Group Publishing",

}

RIS

TY - JOUR

T1 - Impact of Consultant Obstetric Presence on Serious Incidents.

AU - Shawer, Sherif

AU - Rowbotham, Shirley

AU - Heazell, Alexander

AU - Kelly, Teresa

AU - Vause, Sarah

PY - 2019/2/27

Y1 - 2019/2/27

N2 - Purpose - Many organisations, including the Royal College of Obstetricians andGynaecologists, have recommended increasing the number of hours of consultant obstetric presence in UK National Health Service maternity units to improve patient care. St Mary’s Hospital, Manchester implemented 24-7 consultant presence in September 2014.Design/Methodology – To assess the impact of 24-7 consultant presence upon women and babies, a retrospective review of all serious clinical intrapartum incidents occurring between September 2011 and September 2017 was carried out by two independent reviewers; disagreements in classification were reviewed by a senior Obstetrician. The impact of consultant presence was classified in a structure agreed a priori.Findings – A total of 72 incidents were reviewed. Consultants were directly involved in the care of 75.6% of cases before 24-7 consultant presence compared to 96.8% afterwards. Negative impact due to a lack of consultant presence fell from 22% of the incidents before 24-7 consultant presence to 9.7% after implementation. In contrast, positive impact of consultant presence increased from 14.6% to 32.3% following the introduction of 24-7 consultant presence.Practical Implications – Introduction of 24-7 consultant presence reduced the negative impact caused by a lack of, or delay in, consultant presence as identified by serious untoward incident reviews. Consultant presence was more likely to have a positive influenceon care delivery.Originality/Value – This is the first assessment of the impact of 24-7 consultant presence on the serious untoward incidents in obstetrics.

AB - Purpose - Many organisations, including the Royal College of Obstetricians andGynaecologists, have recommended increasing the number of hours of consultant obstetric presence in UK National Health Service maternity units to improve patient care. St Mary’s Hospital, Manchester implemented 24-7 consultant presence in September 2014.Design/Methodology – To assess the impact of 24-7 consultant presence upon women and babies, a retrospective review of all serious clinical intrapartum incidents occurring between September 2011 and September 2017 was carried out by two independent reviewers; disagreements in classification were reviewed by a senior Obstetrician. The impact of consultant presence was classified in a structure agreed a priori.Findings – A total of 72 incidents were reviewed. Consultants were directly involved in the care of 75.6% of cases before 24-7 consultant presence compared to 96.8% afterwards. Negative impact due to a lack of consultant presence fell from 22% of the incidents before 24-7 consultant presence to 9.7% after implementation. In contrast, positive impact of consultant presence increased from 14.6% to 32.3% following the introduction of 24-7 consultant presence.Practical Implications – Introduction of 24-7 consultant presence reduced the negative impact caused by a lack of, or delay in, consultant presence as identified by serious untoward incident reviews. Consultant presence was more likely to have a positive influenceon care delivery.Originality/Value – This is the first assessment of the impact of 24-7 consultant presence on the serious untoward incidents in obstetrics.

KW - Obstetrics

KW - Midwifery

KW - Adverse events or outcomes

KW - Patient safety

KW - Clinical effectiveness

KW - Teamwork

M3 - Article

JO - International Journal of Health Governance

JF - International Journal of Health Governance

SN - 2059-4631

ER -