Irish inquiry reports relating to perinatal deaths and pregnancy loss services

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dc.contributor.authorHelps, Änne
dc.contributor.authorLeitao, Sara
dc.contributor.authorO'Byrne, L.
dc.contributor.authorGreene, Richard A.
dc.contributor.authorO'Donoghue, Keelin
dc.date.accessioned2020-05-14T11:27:51Z
dc.date.available2020-05-14T11:27:51Z
dc.date.issued2020-02
dc.date.updated2020-05-14T11:19:24Z
dc.description.abstractAims: External inquiries are carried out following specific adverse events in healthcare, many in maternity care; to identify issues and make recommendations to improve standards of care. Methods: Ten publically-available national inquiry reports published between 2005-2018 relating to pregnancy loss services, were reviewed by 2 clinicians, separately, examining the content and recommendations from each report. Results: A total of 258 recommendations were made in 9 reports (90%). Five inquiries (50%) clearly stated that affected families were involved and four (40%) involved affected clinical staff. In 9 reports (90%) recommendations included: increase workforce staffing and/or training, strengthen clinical governance, enhance adverse incident management and comprehensive data collection e.g. maternity outcomes. Only two inquiry reports (20%) stated that feedback was sought from key stakeholders prior to publication. Conclusion: A collaborative and standardised inquiry process involving and supporting all persons affected as well as key stakeholders would ensure that all relevant issues are identified, recommendations are implemented and essential lessons are learned.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidP21en
dc.identifier.citationHelps, Ä., Leitao, S., O'Byrne, L., Greene, R. and O'Donoghue, K. (2020) 'Irish inquiry reports relating to perinatal deaths and pregnancy loss services', Irish Medical Journal, 113(2), P21 (7pp). Available at: http://www.imj.ie/wp-content/uploads/2020/02/Irish-Inquiry-Reports-Relating-to-Perinatal-Deaths-and-Pregnancy-Loss-Services-1.pdf (Accessed: 14 May 2020)en
dc.identifier.endpage7en
dc.identifier.issn0332-3102
dc.identifier.issued2en
dc.identifier.journaltitleIrish Medical Journalen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9952
dc.identifier.volume113en
dc.language.isoenen
dc.publisherIrish Medical Organisationen
dc.relation.urihttp://imj.ie/irish-medical-journal-february-2020-vol-113-no-2/
dc.rights© 2020, Irish Medical Journal. All rights reserved.en
dc.subjectExternal inquiriesen
dc.subjectAdverse eventsen
dc.subjectHealthcareen
dc.subjectIrelanden
dc.subjectMaternity careen
dc.titleIrish inquiry reports relating to perinatal deaths and pregnancy loss servicesen
dc.typeArticle (peer-reviewed)en
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INFANT Research Centre - Journal Articles
National Perinatal Epidemiology Centre - Journal Articles