Presentation on theme: "Why Did Mrs X Die? Understanding the Pathways to Maternal Death"— Presentation transcript:
1 Why Did Mrs X Die? Understanding the Pathways to Maternal Death From:
2 Understanding the “pathway to death” VideoWhy Did Mrs. X Die?
3 Short Exercise (10 minutes) Turn to 1-2 people next to youDiscuss the video with the following in mind:What was the direct cause of Mrs. X’s deathWere there any indirect causes?What evidence did the review committees use to make changes in quality of care at the facility?List 2 actions resulting from the analysis of Mrs. X’s death taken at the hospital and nationally)
4 Cycle of Data Collection, Reflection & Action IDENTIFY THE PROBLEMMONITOR ACTIONS & ADAPT IF REQUIREDCOLLECT DATAIMPLEMENT RECOMMENDATIONSPRESENT DATA IN USEFUL FORMATSPROPOSE SOLUTIONSDISCUSS DATA WITH RELEVANT PEOPLEANALYSE DATA
5 Cycle of Data Collection, Reflection & Action EVIDENCEIDENTIFY THE PROBLEMMONITOR ACTION & ADAPT IF REQUIREDCOLLECT DATAIMPLEMENT RECOMMENDATIONSPRESENT DATA IN USEFUL FORMATSACTIONDISCUSS DATA WITH RELEVANT PEOPLEPROPOSE SOLUTIONSANALYSE DATAREVIEW
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