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Review
. 2020 Dec;47(4):779-797.
doi: 10.1016/j.clp.2020.08.009. Epub 2020 Oct 16.

Advances in Maternal Fetal Medicine: Perinatal Quality Collaboratives Working Together to Improve Maternal Outcomes

Patricia Ann Lee King  1 , Zsakeba T Henderson  2 , Ann E B Borders  3
Affiliations
Review

Advances in Maternal Fetal Medicine: Perinatal Quality Collaboratives Working Together to Improve Maternal Outcomes

Patricia Ann Lee King et al. Clin Perinatol. 2020 Dec.

Abstract

State-based perinatal quality collaboratives (PQCs) address preventable causes of maternal and infant morbidity and mortality by implementing statewide quality improvement (QI) initiatives. They work with hospital clinical teams, obstetric provider and nursing leaders, patients and families, public health officials, and other stakeholders to provide opportunities for collaborative learning, rapid-response data, and QI science support to achieve clinical culture change. PQCs show that the application of collaborative improvement science methods to advance evidence-informed clinical practices using QI strategies contributes to improved perinatal outcomes. With appropriate staffing, infrastructure, and partnerships, PQCs can achieve sustainable improvements in perinatal care.

Keywords: Birth equity; Maternal mortality; Maternal outcomes; Perinatal quality collaboratives; Quality improvement.

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Conflict of interest statement

Disclosure The authors disclose no commercial or financial conflicts of interest. ILPQC, Dr A.E.B. Borders, principal investigator, is funded by the Centers for Disease Control and Prevention, Illinois Department of Public Health, Illinois Department of Human Services, University of Illinois at Chicago, Pritzker Family Foundation, and the Alliance for Innovation on Maternal Health.

Figures

Fig. 1.
Fig. 1.
The model for improvement. (From Langley GL MR, Nolan TW, Norman CL, Provost LP. The improvement guide: a practical approach to enhancing organizational performance 2nd ed. San Fransico: Jossey-Bass Publishers; 2009; with permission.)
Fig. 2.
Fig. 2.
Key strategies used by PQCs. (Adapted from Lee King PA, Young D, Borders AEB. A framework to harness the power of quality collaboratives to improve perinatal outcomes. Clinical Obstetrics and Gynecology. 2019;62(3):606; with permission.)
Fig. 3.
Fig. 3.
The relationship between PQCs, maternal mortality committees (MMRCs), and AIM. From Goodman DA; Centers for Disease Control and Prevention. Safe motherhood: anupdate from CDC. Presented at the Title V Technical Assistance Meeting. Arlington, VA. October 15, 2018.
See this image and copyright information in PMC

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