UK Wedding News
13/06/2016
The report, which is a part of the RCOG initiative Each Baby Counts, said that over a quarter of reviews into the above incidents are not good enough.
The initiative aims to halve the number of stillbirths, neonatal deaths and severe brain injuries by 2020 by compiling the lessons learned from a review of all local investigations to improve the quality of care in labour across the UK.
So far, interim data from 2015 reveals that 921 babies were reported to the Each Baby Counts programme. Of these, 654 (71%) were classified as having severe brain injuries, 147 (16%) early neonatal deaths and 119 (13%) stillbirths that occurred during full-term labour.
Of the 610 reports that have been completed, 599 (98%) have had a local investigation, and 204 have been assessed by Each Baby Counts reviewers. However, 27% of these were poor quality, the RCOG has said as they did not contain sufficient information for the care to be classified. Of those that passed the initial quality checks, 39% contained no actions to improve care or only made recommendations, which were solely focussed on individual actions.
96% of reviews were made up of multidisciplinary teams which included midwives and obstetricians, but just 62% included a neonatologist, while 44% included a member of the senior management team and 10% an anaesthetist. Only 7% of local review panels included an external expert.
In addition, in a quarter of local reviews, the parents were not made aware that an investigation was taking place. In 47% of cases, parents were made aware of an investigation and informed of its outcomes, but in only 28%, parents were invited to contribute.
Professor Alan Cameron, RCOG vice president for clinical quality and co-principal investigator for Each Baby Counts, is quoted as saying: "Currently, there is a lack of consistency in the way local investigations are conducted. Only by ensuring that local investigations are conducted thoroughly with parental and external input, can we identify where systems need to be improved."
Louise Silverton, RCM director for midwifery, added: "This report clearly shows that improvements in the investigation process are needed. It is only through thorough investigation and implementation of recommendations that lessons can be learned from these tragic events. We must do everything possible to prevent them, and improve care and safety.
"That so many parents were not informed about investigations taking place and the outcome is a concern. Parental involvement should be the norm, and their input is critical if we are to fully understand the causes of these terrible events."
(JP/MH)
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Investigations Into Stillbirths Need To Improve – RCOG
A report by the Royal College of Gynaecologists (RCOG) has found that more work is needed to improve investigations into stillbirths, neonatal deaths and severe brain injuries.The report, which is a part of the RCOG initiative Each Baby Counts, said that over a quarter of reviews into the above incidents are not good enough.
The initiative aims to halve the number of stillbirths, neonatal deaths and severe brain injuries by 2020 by compiling the lessons learned from a review of all local investigations to improve the quality of care in labour across the UK.
So far, interim data from 2015 reveals that 921 babies were reported to the Each Baby Counts programme. Of these, 654 (71%) were classified as having severe brain injuries, 147 (16%) early neonatal deaths and 119 (13%) stillbirths that occurred during full-term labour.
Of the 610 reports that have been completed, 599 (98%) have had a local investigation, and 204 have been assessed by Each Baby Counts reviewers. However, 27% of these were poor quality, the RCOG has said as they did not contain sufficient information for the care to be classified. Of those that passed the initial quality checks, 39% contained no actions to improve care or only made recommendations, which were solely focussed on individual actions.
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96% of reviews were made up of multidisciplinary teams which included midwives and obstetricians, but just 62% included a neonatologist, while 44% included a member of the senior management team and 10% an anaesthetist. Only 7% of local review panels included an external expert.
In addition, in a quarter of local reviews, the parents were not made aware that an investigation was taking place. In 47% of cases, parents were made aware of an investigation and informed of its outcomes, but in only 28%, parents were invited to contribute.
Professor Alan Cameron, RCOG vice president for clinical quality and co-principal investigator for Each Baby Counts, is quoted as saying: "Currently, there is a lack of consistency in the way local investigations are conducted. Only by ensuring that local investigations are conducted thoroughly with parental and external input, can we identify where systems need to be improved."
Louise Silverton, RCM director for midwifery, added: "This report clearly shows that improvements in the investigation process are needed. It is only through thorough investigation and implementation of recommendations that lessons can be learned from these tragic events. We must do everything possible to prevent them, and improve care and safety.
"That so many parents were not informed about investigations taking place and the outcome is a concern. Parental involvement should be the norm, and their input is critical if we are to fully understand the causes of these terrible events."
(JP/MH)
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