Improving the process of evaluating the quality of care in "maternal near miss" at hospital level: an action research study protocol.

Abstract

Background: The fifth Millennium Development Goal aims to improve maternal health by reducing maternal mortality by 75% from 1990 to 2015. Consequently, utilizing quality care indicators and performance evaluations is crucial for providing effective services. This study aimed to evaluate the quality of care for critically ill mothers in hospitals through action research.

Methods/design: This study involves action research utilizing reform cycles, including focus group meetings with the head of the midwifery office, maternity hospital officials, gynecologists, and midwives from Mashhad University of Medical Sciences. Following a severe morbidity incident resulting in maternal death, a hospital meeting will convene to investigate the root causes. This committee will review the hospital records from the mother's admission to discharge to identify necessary preventive measures against malpractice. Sampling is purposeful. Sample size will be determined by data saturation. The project's final results, along with participant feedback, will inform the planning of the second action research cycle, which will encompass planning, implementation, observation, and reflection. The final report will be submitted to officials for approval, and the number of invitees for subsequent meetings will be based on study findings, facilitating discussion and decision-making for ongoing processes. Ultimately, the final care quality assessment process will be prepared for presentation.

Discussion: In many birth blocks, women experiencing severe complications from pregnancy and childbirth face similar health issues. Quality care is essential for global strategies aimed at eliminating avoidable deaths. Ethical code IR.MUMS.NURSE.REC. 1402.024.