Outcomes of the Introduction of the MOREOB Continuing Education Program in Alberta |
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| Authors: | Nguyen X. Thanh Philip Jacobs Margaret I. Wanke Ann Hense Reg Sauve |
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| Affiliation: | 1. INSTITUTE OF HEALTH ECONOMICS, EDMONTON, AB;2. Department of Medicine, University of Alberta, Edmonton, AB;3. Charis Management Consulting Inc., Edmonton, AB;4. Alberta Perinatal Health Program, Edmonton, AB;5. Department of Community Health Sciences and Pediatrics, University of Calgary, Calgary, AB |
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| Abstract: | ObjectiveIn 2004, the three-module, three-year long patient safety program, Managing Obstetrical Risk Efficiently (MOREOB), was introduced to all clinicians providing obstetrical services in Alberta. We report on an outcomes evaluation of this initiative.MethodsProvincial hospital discharge abstracts for each mother and infant were obtained from 2003 through 2008. A pre–post design with a multivariate analysis was conducted for each relevant maternal and fetal outcome.ResultsFor maternal outcomes, third- and fourth-degree tears and length of stay were significantly decreased. For newborn outcomes, severe morbidity was significantly reduced.ConclusionThe MOREOB program was associated with improvement in selected maternal and fetal health outcome indicators. When a patient safety program is introduced as an intensive, long-term continuing education and quality improvement initiative, health outcomes can be significantly impacted. |
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