Development and Measurement of Guidelines-Based Quality Indicators of Caesarean Section Care in the Netherlands: A RAND-Modified Delphi Procedure and Retrospective Medical Chart Review
- Melman, S.
- Schoorel, E.C.
- Boer, K. de
- Burggraaf, H.
- Derks, J.B.
- Dijk, D. van
- Dillen, J. van
- Dirksen, C.D.
- Duvekot, J.J.
- Franx, A.
- Hasaart, T.H.
- Huisjes, A.J.
- Kolkman, D.
- Kuijk, S. van
- Kwee, A.
- Mol, B.W.
- Pampus, M.G. van
- Roon-Immerzeel, A. de
- Roosmalen, J.J. van
- Roumen, F.J.
- Smid-Koopman, E.
- Smits, L.
- Spaans, W.A.
- Visser, H.
- Wijngaarden, W.J. van
- Willekes, C.
- Wouters, M.G.
- Nijhuis, J.G.
- Hermens, R.P.M.G.
- Scheepers, H.C.
DOIAbstract
BACKGROUND: There is an ongoing discussion on the rising CS rate worldwide. Suboptimal guideline adherence may be an important contributor to this rise. Before improvement of care can be established, optimal CS care in different settings has to be defined. This study aimed to develop and measure quality indicators to determine guideline adherence and identify target groups for improvement of care with direct effect on caesarean section (CS) rates. METHOD: Eighteen obstetricians and midwives participated in an expert panel for systematic CS quality indicator development according to the RAND-modified Delphi method. A multi-center study was performed and medical charts of 1024 women with a CS and a stratified and weighted randomly selected gr...
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