• Salud pública de México · Feb 2020

    [Quality care indicators for neonates with selected pathologies: pilot study.]

    • Pedro Jesús Saturno-Hernández, Ofelia Poblano-Verástegui, Sergio Flores-Hernández, Daniel Ángel-García, Gabriel Jaime O Shea-Cuevas, Víctor Manuel Villagrán-Muñoz, María Elizabeth Halley-Castillo, and Verónica Delgado-Sánchez.
    • Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México.
    • Salud Publica Mex. 2020 Feb 1; 61 (1): 35-45.

    ObjectiveDevelop and pilot indicators of quality of care to neonates with relevant conditions in Mexico (prematurity, neonatal sepsis, perinatal asphyxia, and intrauterine hypoxia).Materials And MethodsOwn indicators were built based on key recommendations of national clinical practice guidelines and indicators found in international repositories. With previous search, selection and prioritization, the indicators were piloted within two hospitals. The feasibility of measuring, (kappa index) reliability and usefulness was analyzed to detect quality problems.Results23 indicators were selected and piloted, 12 are compounds, of the total, nine were feasible and reliable. The quality of the hospital's information was diverse and often poor, limiting both the feasibility and the reliability of the indicators. Improvement opportunities were identified thorough the compliance levels.ConclusionsA set of nine indicators valid, reliable, feasible and useful indicators is proposed in order to monitor the quality of care of pathological neonates.

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