Audit ernstige maternale morbiditeit in Nederland

Translated title of the contribution: Audit of severe acute maternal morbidity (SAMM) in the Netherlands

Jeroen Van Dillen*, Jeanette A.J.M. Mesman, Joost J. Zwart, Kitty W.M. Bloemenkamp, Jos Van Roosmalen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

1 Citation (Scopus)


OBJECTIVE: To describe the audit of severe acute maternal morbidity in the Netherlands, indicating the audit procedure and possible points for improvement.

DESIGN: Descriptive audit investigation.

METHODS: Eight audit meetings were held concerning cases of severe acute maternal morbidity selected from a prospective, population-based, cohort investigation at all 98 obstetric departments in the Netherlands. Before the start of each meeting, details of the cases were sent to panel members for individual analysis. During the plenary meeting the findings were discussed, and more detailed information was available if required from the patient dossier. Substandard care was identified on the basis of the opinion of the majority of panel members.

RESULTS: Substandard care was identified in almost 80% of the SAMM cases discussed. Specific recommendations were formulated concerning the procedure of audit and also concerning local and national implementation of guidelines.

CONCLUSION: Audit merits an important place both nationally and locally in Dutch obstetric practice. Quality improvement is generally possible without large changes to the system, specifically by optimising existing guidelines and putting them into practice.

Translated title of the contributionAudit of severe acute maternal morbidity (SAMM) in the Netherlands
Original languageDutch
Pages (from-to)150-155
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Issue number4
Publication statusPublished - 1 Jan 2011
Externally publishedYes


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