ArticleQuality & safety in health care2007
Improving emergency caesarean delivery response times at a rural community hospital.
Article in Quality & safety in health care, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.
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Who cites it
7 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Reducing stillbirths: interventions during labour.BMC pregnancy and childbirth · 2009Pooled it
- The SQUIRE (Standards for QUality Improvement Reporting Excellence) guidelines for quality improvement reporting: explanation and elaboration.Quality & safety in health care · 2008Guideline
- Association of low hospital birth volume and adverse short-term outcomes for neonates treated with therapeutic hypothermia in rural states.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Determinants of decision-to-intervention time in the management and therapeutic outcome of emergency gynecological surgeries in south east Nigeria.Therapeutics and clinical risk management · 2014Article
- Stillbirths in rural hospitals in the gambia: a cross-sectional retrospective study.Obstetrics and gynecology international · 2010Article
- The Department of Veterans Affairs National Quality Scholars Fellowship Program: experience from 10 years of training quality scholars.Academic medicine : journal of the Association of American Medical Colleges · 2009Article
- SQUIRE arrives--with a plan for its own improvement.Quality & safety in health care · 2008Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAccording to national organisations, obstetric services should be able to initiate a caesarean delivery within 30 minutes of the decision to operate. This is uniquely challenging in a small, rural hospital. In 2001, the authors' hospital was unable to meet this guideline reliably. This project demonstrates how we improved our emergency caesarean delivery response time.
methodsThe caesarean delivery process was examined, project co-chairs were selected and key personnel were identified. Four working groups (doctors, nurses, anaesthesia, operating room personnel) were formed to analyse and improve component parts of the process. Over time, multiple small changes were made, initially by each working group and then by the entire caesarean delivery team. Decision-to-incision time was the main outcome measure. The authors also measured standard birth statistics and tracked the percentage of caesarean deliveries that were classified as an emergency.
resultsForty emergency caesarean deliveries occurred during the study. The mean decision-to-incision time dropped from 31 to 20 minutes and the treatment to goal ratio increased from 0.5 to 1.0. The percentage of caesarean deliveries that were classified as emergencies dropped significantly. There has been no change in the overall caesarean delivery rate or other markers of obstetric quality.
conclusionsA small, rural community hospital with limited resources can consistently meet the 30 minute decision-to-incision guideline for emergency caesarean delivery.
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