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Obstet Gynecol Clin North Am. 2019 Jun;46(2):227-238. doi: 10.1016/j.ogc.2019.01.006.

Quality Improvement Approach to Eliminate Disparities in Perinatal Morbidity and Mortality.

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Institute for Perinatal Quality Improvement, 255 East Lombard Street, #252, Baltimore, MD 21202, USA; University of Maryland School of Nursing, 344 West Lombard Street, #462A, Baltimore, MD 21201, USA. Electronic address:
Department of Health Law, Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA 02118, USA.
Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, 1176 Fifth Avenue, Box 1170, New York, NY 10029, USA.


"Preventable disparities in health outcomes for women during the perinatal period are unacceptable. To successfully combat these inequities, it is important to identify their causes and use quality improvement approaches to eliminate them. Proposed are 5 quality and safety strategies to guide efforts to eliminate disparities and ensure equitable health care for all women and newborns: (1) apply a systems approach based on the Socio-Ecological Model, (2) identify root causes of disparities, (3) identify and eliminate strong but wrong routines, (4) use improvement and implementation science methods and tools, and (5) use data to guide the plan and track progress."


Disparities; Equity; Implementation; Maternal morbidity; Maternal mortality; Perinatal; Population health; Quality improvement

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