Prioritised clinical domain
Maternity
Abbreviation
ABS-Obstetrics
Registry contact
Karen Hamilton, Healthcare Improvement Unit, Clinical Excellence Queensland, Karen.Hamilton@health.qld.gov.au
Year established
2018
Description
ABS – Obstetrics is a web-accessible data collection tool designed to capture anaesthetic obstetric clinical information within the labour (maternity) and perioperative environments.
The ABS – Obstetrics is clinician driven and has been developed to assist hospitals and health services to achieve clinical practice improvement and provide safer and more satisfying experiences for mothers and babies by:
- Monitoring and measuring performance against agreed standards
- Identifying process deficiencies
- Reducing clinical risk and embed evidence-based practice
- Improving the quality of care
Agreed statewide indicators (based on the Royal College of Anaesthetists, audit recipe of continuous improvement) include:
Epidural:
- % epidural attended within 30 minutes
- % epidural requests attended within 60 minutes
- % epidural resited
- % epidural who sustain an accidental dural puncture
- % epidural that are deemed unsuccessful (composite endpoint)
- % satisfied with epidural
- % epidural providing adequate pain relief within 45 minutes of the epidural being inserted
- % PDPH requiring EBP
Caesarean:
- % category 1 caesarean sections performed within 30 minutes from booking to delivery time
- % category 2 caesarean sections performed within 60 minutes from booking to delivery time
- % category 1 caesarean performed under regional anaesthesia
- % of all emergency caesarean sections performed under regional
- % of all elective caesarean performed under regional
- % of all category 1 caesarean performed under regional that complain of pain
- % of all emergency caesarean performed under regional that complain of pain
- % of all elective caesarean performed under regional that complain of pain
- % category 1 converted from regional to GA
- % emergency caesarean sections converted from regional to GA
- % of elective caesarean sections converted from regional to GA
- % women satisfied with post-op pain relief
Reporting process
- Reported in an annual report
- Shared with clinicians
- Shared with hospital executive
- The Anaesthetic Obstetrics Registry Steering Committee reports through the Statewide Anaesthesia and Perioperative Care Clinical Network (SWAPNet)
Patient Reported Outcome Measures (PROMs)
Nil
Patient Reported Experience Measures (PREMs)
Nil
Participating sites
Queensland
- Atherton Hospital
- Ayr Hospital
- Beaudesert Hospital
- Biloela Hospital
- Bundaberg Hospital
- Caboolture Hospital
- Cairns Base Hospital
- Charleville Hospital
- Chinchilla Hospital
- Cooktown Hospital
- Dalby Hospital Health Service
- Gladstone Hospital
- Gold Coast Hospital
- Goodiwindi Hospital
- Gympie Hospital
- Hervey Bay Hospital
- Ingham Hospital
- Innisfail Hospital
- Ipswich Hospital
- Kingaroy Hospital & Community Health Centre
- Logan Hospital
- Longreach Hospital
- Mackay Base Hospital
- Mareeba Hospital
- Mount Isa Base Hospital
- Nambour General Hospital
- Proserpine Hospital
- Redcliffe Hospital
- Redland Hospital
- Rockhampton Base Hospital
- Roma Hospital
- Royal Brisbane & Womens Hospital
- Royal Brisbane Hospital
- St George Hospital (QLD)
- Stanthorpe Hospital
- The Townsville Hospital
- Thursday Island Hospital
- Toowoomba Hospital
- Warwick Hospital
Condition
Anaesthetic obstetrics
Name
Anaesthetic Benchmarking System - Obstetrics
Lead organisation
Healthcare Improvement Unit, Clinical Excellence Queensland
Ethics approval reference
ABS-Obstetrics is a quality assurance initiative established in accordance with the National Health and Medical Research Council 'Ethical Considerations in Quality Assurance and Evaluation Activities' 2014, Hospital and Health Boards Act 2011, Section 150 - Disclosure for purposes relating to health services and eHealth Architectural and Standard Committee requirements.
Program area