Perinatal audit and a “neonatal near miss” model as a current form of care quality control in neonatology
Objective. To carry out a systematic analysis of the data available in modern literature on the current forms of medical care quality control in neonatology.Bushtyrev V.A., Zubkov V.V., Kuznetsova N.B., Barinova V.V.
Material and methods. The review includes the data of foreign and Russian articles published in the past 5 years and found in Pubmed on this topic.
Results. Targeted attention is given to a „neonatal near miss” model that evaluates „almost dead” neonatal cases. In addition, close attention is paid to the management model of perinatal clinical audit; and its classification in neonatology and methodology are presented, and the efficiency is evaluated to make management decisions for restructuring the service,
Conclusion. The data presented in the review confirm that the use of current management techniques (perinatal audit and a „neonatal near miss” allows not only decision-making on the optimization and reorganization of obstetric-gynecological and neonatal services, but also staff training, estimation of the real cost of health care, and calculation of its economic efficiency.
Keywords
neonatal near miss
pragmatic and therapeutic criteria for near miss
perinatal audit
economic efficiency
quality control
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Received 16.08.2016
Accepted 02.09.2016
About the Authors
Bushtyrev Valeriy Alexandrovich, Honored Doctor of the Russian Federation, Ph.D., Head of the Rostov Regional Perinatal Center.344068, Russia, Rostov-on-Don, Bodraya str. 90. Tel.: +7863235-15-31, +78632357905. E-mail: perinatal-rost@mail.ru
Zubkov Viktor Vasilyevich, MD, Professor, MD, Head of the Division of Neonatology and Pediatrics, Research Center of Obstetrics, Gynecology and Perinatology,
Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +74954382266. E-mail: victor.zubkov@mail.ru
Kuznetsova Natalia Borisovna, PhD, Associate Professor, Department of Obstetrics and Gynecology № 4, Rostov State Medical University.
344022, Russia, Rostov-on-Don, Nahichevansky per. 29. Tel.: +78632504200. E-mail: lauranb@inbox.ru
Barinova Victoria Vladislavovna, PhD, assistant of Department of Obstetrics and Gynecology № 4, Rostov State Medical University.
344022, Russia, Rostov-on-Don, Nahichevansky per. 29. Tel.: +78632504200. E-mail: victoria-barinova@yandex.ru
For citations: Bushtyrev V.A., Zubkov V.V., Kuznetsova N.B., Barinova V.V. Perinatal audit and a “neonatal near miss” model as a current form of care quality control in neonatology. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (2): 17-22. (in Russian)
http://dx.doi.org/10.18565/aig.2017.2.17-22
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