Evidence map›Paper›PMID 31053113›Full record

ArticleBMC pregnancy and childbirth2019

Effect of implementation of the MORE

Deborah Weiss, Deshayne B Fell, Ann E Sprague, Mark C Walker, Sandra Dunn, Jessica Reszel, Wendy E Peterson, Doug Coyle, Monica Taljaard

Abstract readEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. A mixed-methods evaluation of the MOREBMC health services research · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Deborah WeissBetter Outcomes Registry & Network (BORN) Ontario, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada. deweiss@bornontario.ca.ORCID http://orcid.org/0000-0001-5614-3447
Deshayne B FellChildren's Hospital of Eastern Ontario (CHEO) Research Institute, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.
Ann E SpragueBetter Outcomes Registry & Network (BORN) Ontario, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.
Mark C WalkerBetter Outcomes Registry & Network (BORN) Ontario, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.
Sandra DunnBetter Outcomes Registry & Network (BORN) Ontario, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.
Jessica ReszelBetter Outcomes Registry & Network (BORN) Ontario, 401 Smyth Road, Ottawa, Ontario, K1H 8L1, Canada.
Wendy E PetersonUniversity of Ottawa, 451 Smyth Road, Ottawa, Ontario, K1H 8M5, Canada.
Doug CoyleUniversity of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada.
Monica TaljaardUniversity of Ottawa, 600 Peter Morand Crescent, Ottawa, Ontario, K1G 5Z3, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2002, the MORE

methodsA retrospective cohort study, using province-wide administrative hospitalization data. We included maternal and neonatal records between fiscal years 2002-2003 and 2013-2014, for deliveries taking place at the 67 Ontario hospitals where the MORE

resultsAcross the 12 years of follow up, there were 98,789 adverse maternal and neonatal outcomes, a rate of 6.83 per 100 deliveries (6.66 per 100 occurring before, 6.91 per 100 during, and 6.84 per 100 after program implementation). The multivariable analysis found no statistically significant decrease in adverse events associated with program implementation (OR for adverse events after versus before =1.11 (95% CI: 1.06 to 1.17, change in mean WAOS score after minus before =0.15 (- 0.36 to 0.67)).

conclusionsWe did not find a reduction in the incidence of maternal and neonatal adverse outcomes associated with the MORE

Indexed as

AdultDelivery, ObstetricFemaleHealth Plan ImplementationHospitalsHumansIncidenceInfant, NewbornLogistic ModelsMultivariate AnalysisOntarioPregnancyPregnancy OutcomeProgram EvaluationRetrospective StudiesYoung AdultAdverse outcomesObstetricsOutcome evaluationPatient safetySafety culture

Identifiers

PMID31053113
PMCPMC6500060

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.