Measuring Quality in Obstetric Anaesthesia

Question 1

Define quality in healthcare

Answer 1

the degree to which health services for individuals and populations increase the likelihood of desired health outcomes. It is based on evidence-based professional knowedge and is critical for achieving universal health coverage

Question 2

Clinical Indicator

Answer 2

A metric used to evaluate care. Can be compared to an evidence based value (quality indicator) or compared to a target (performance indicator)

Question 3

RCOA quality standard for adequate epidural analgesia

Answer 3

Adequate epidural analgesia at 45 min after start of procedure >88%

Question 4

RCOA quality standard for response time after patient request for epidural

Answer 4

Response time should not normally
exceed 30 min and must be within 1 h

Question 5

RCOA quality standard for percentage of epidural re-sites

Answer 5

Rate of re-sited epidurals during labour
<15%

Question 6

RCOA quality standard for accidental dural puncture

Answer 6

Accidental dural puncture rate <1%

Question 7

RCOA quality standard for patient satisfaction at follow up

Answer 7

Patient satisfaction at follow-up >98%