Medical audit using the Ten Group Classification System and its impact on the cesarean section rate

Autores
Scarella, Anibal; Chamy, Verónica; Sepúlveda, Marcela; Belizan, Jose
Año de publicación
2011
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objective: The aim of this study is to implement the Ten Group Classification System (TGCS) and evaluate whether the introduction of the medical audit cycle reduces the cesarean section (CS) rate without increasing maternal-fetal risk. Study design: A prospective cohort study was performed including all women who gave birth during 21 months. The study was subdivided into three consecutive periods: (1) implementation of the TGCS identifying the major CS rate contributor groups (three months), (2) audit and report changes in the CS rates to the medical and midwifery staff according to the TGCS (6 months) and (3) discontinue interventions but continue auditing the CS rates (6 months). Results: The first period CS rate of 36.8% was reduced to 26.5% after the introduction of interventions in the second period (RR 0.71 IC 0.63-0.81). After the intervention was stopped, the CS rate increased again to 31.8% (RR 1.19 IC 1.09-1.32). This is a decrease of 5.08% from the basal period (RR 0.86 IC 0.76-0.97). The asphyxia rate remained unchanged for the periods studied. Conclusion: Auditing through the TGCS and feedback is an effective, safe, and easy-to-implement strategy to reduce the CS rate. Its diffusion would allow reduction of the CS rates in countries as ours, and by means of the TGCS, figures can be compared within individual entities and others.
Fil: Scarella, Anibal. Universidad de Valparaíso; Chile
Fil: Chamy, Verónica. Universidad de Valparaíso; Chile
Fil: Sepúlveda, Marcela. Hospital Van Buren; Chile
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Materia
CESAREAN SECTION
MEDICAL AUDIT
TEN GROUPS CLASSIFICATION SYSTEM
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/189764
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/189764
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Medical audit using the Ten Group Classification System and its impact on the cesarean section rateScarella, AnibalChamy, VerónicaSepúlveda, MarcelaBelizan, JoseCESAREAN SECTIONMEDICAL AUDITTEN GROUPS CLASSIFICATION SYSTEMhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objective: The aim of this study is to implement the Ten Group Classification System (TGCS) and evaluate whether the introduction of the medical audit cycle reduces the cesarean section (CS) rate without increasing maternal-fetal risk. Study design: A prospective cohort study was performed including all women who gave birth during 21 months. The study was subdivided into three consecutive periods: (1) implementation of the TGCS identifying the major CS rate contributor groups (three months), (2) audit and report changes in the CS rates to the medical and midwifery staff according to the TGCS (6 months) and (3) discontinue interventions but continue auditing the CS rates (6 months). Results: The first period CS rate of 36.8% was reduced to 26.5% after the introduction of interventions in the second period (RR 0.71 IC 0.63-0.81). After the intervention was stopped, the CS rate increased again to 31.8% (RR 1.19 IC 1.09-1.32). This is a decrease of 5.08% from the basal period (RR 0.86 IC 0.76-0.97). The asphyxia rate remained unchanged for the periods studied. Conclusion: Auditing through the TGCS and feedback is an effective, safe, and easy-to-implement strategy to reduce the CS rate. Its diffusion would allow reduction of the CS rates in countries as ours, and by means of the TGCS, figures can be compared within individual entities and others.Fil: Scarella, Anibal. Universidad de Valparaíso; ChileFil: Chamy, Verónica. Universidad de Valparaíso; ChileFil: Sepúlveda, Marcela. Hospital Van Buren; ChileFil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaElsevier Ireland2011-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/189764Scarella, Anibal; Chamy, Verónica; Sepúlveda, Marcela; Belizan, Jose; Medical audit using the Ten Group Classification System and its impact on the cesarean section rate; Elsevier Ireland; European Journal Of Obstetricia & Gynecology Reprodutivebiology; 154; 2; 2-2011; 136-1400301-2115CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0301211510004653info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ejogrb.2010.09.005info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:06:51Zoai:ri.conicet.gov.ar:11336/189764instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:06:52.181CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
title Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
spellingShingle Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
Scarella, Anibal
CESAREAN SECTION
MEDICAL AUDIT
TEN GROUPS CLASSIFICATION SYSTEM
title_short Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
title_full Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
title_fullStr Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
title_full_unstemmed Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
title_sort Medical audit using the Ten Group Classification System and its impact on the cesarean section rate
dc.creator.none.fl_str_mv Scarella, Anibal
Chamy, Verónica
Sepúlveda, Marcela
Belizan, Jose
author Scarella, Anibal
author_facet Scarella, Anibal
Chamy, Verónica
Sepúlveda, Marcela
Belizan, Jose
author_role author
author2 Chamy, Verónica
Sepúlveda, Marcela
Belizan, Jose
author2_role author
author
author
dc.subject.none.fl_str_mv CESAREAN SECTION
MEDICAL AUDIT
TEN GROUPS CLASSIFICATION SYSTEM
topic CESAREAN SECTION
MEDICAL AUDIT
TEN GROUPS CLASSIFICATION SYSTEM
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objective: The aim of this study is to implement the Ten Group Classification System (TGCS) and evaluate whether the introduction of the medical audit cycle reduces the cesarean section (CS) rate without increasing maternal-fetal risk. Study design: A prospective cohort study was performed including all women who gave birth during 21 months. The study was subdivided into three consecutive periods: (1) implementation of the TGCS identifying the major CS rate contributor groups (three months), (2) audit and report changes in the CS rates to the medical and midwifery staff according to the TGCS (6 months) and (3) discontinue interventions but continue auditing the CS rates (6 months). Results: The first period CS rate of 36.8% was reduced to 26.5% after the introduction of interventions in the second period (RR 0.71 IC 0.63-0.81). After the intervention was stopped, the CS rate increased again to 31.8% (RR 1.19 IC 1.09-1.32). This is a decrease of 5.08% from the basal period (RR 0.86 IC 0.76-0.97). The asphyxia rate remained unchanged for the periods studied. Conclusion: Auditing through the TGCS and feedback is an effective, safe, and easy-to-implement strategy to reduce the CS rate. Its diffusion would allow reduction of the CS rates in countries as ours, and by means of the TGCS, figures can be compared within individual entities and others.
Fil: Scarella, Anibal. Universidad de Valparaíso; Chile
Fil: Chamy, Verónica. Universidad de Valparaíso; Chile
Fil: Sepúlveda, Marcela. Hospital Van Buren; Chile
Fil: Belizan, Jose. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
description Objective: The aim of this study is to implement the Ten Group Classification System (TGCS) and evaluate whether the introduction of the medical audit cycle reduces the cesarean section (CS) rate without increasing maternal-fetal risk. Study design: A prospective cohort study was performed including all women who gave birth during 21 months. The study was subdivided into three consecutive periods: (1) implementation of the TGCS identifying the major CS rate contributor groups (three months), (2) audit and report changes in the CS rates to the medical and midwifery staff according to the TGCS (6 months) and (3) discontinue interventions but continue auditing the CS rates (6 months). Results: The first period CS rate of 36.8% was reduced to 26.5% after the introduction of interventions in the second period (RR 0.71 IC 0.63-0.81). After the intervention was stopped, the CS rate increased again to 31.8% (RR 1.19 IC 1.09-1.32). This is a decrease of 5.08% from the basal period (RR 0.86 IC 0.76-0.97). The asphyxia rate remained unchanged for the periods studied. Conclusion: Auditing through the TGCS and feedback is an effective, safe, and easy-to-implement strategy to reduce the CS rate. Its diffusion would allow reduction of the CS rates in countries as ours, and by means of the TGCS, figures can be compared within individual entities and others.
publishDate 2011
dc.date.none.fl_str_mv 2011-02
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/189764
Scarella, Anibal; Chamy, Verónica; Sepúlveda, Marcela; Belizan, Jose; Medical audit using the Ten Group Classification System and its impact on the cesarean section rate; Elsevier Ireland; European Journal Of Obstetricia & Gynecology Reprodutivebiology; 154; 2; 2-2011; 136-140
0301-2115
CONICET Digital
CONICET
url http://hdl.handle.net/11336/189764
identifier_str_mv Scarella, Anibal; Chamy, Verónica; Sepúlveda, Marcela; Belizan, Jose; Medical audit using the Ten Group Classification System and its impact on the cesarean section rate; Elsevier Ireland; European Journal Of Obstetricia & Gynecology Reprodutivebiology; 154; 2; 2-2011; 136-140
0301-2115
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S0301211510004653
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ejogrb.2010.09.005
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier Ireland
publisher.none.fl_str_mv Elsevier Ireland
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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