"The first-of-its-kind safety system will constantly track how many babies and mothers die and are seriously harmed at every NHS maternity ward in England. This data will be compared in real time with statistics gathered at other NHS hospital trusts across the country so the system can ascertain the likelihood that these outcomes were due to poor care at that particular ward rather than chance."
"When there is a high (95%) level of statistical confidence that deaths or serious injuries, such as brain damage to a newborn baby during childbirth, have started occurring at least twice as frequently as would normally be expected on a ward that size, the system will alert the ward's leadership team to carry out critical safety checks within eight working days."
"Ward managers will be required to review all the care received by the mothers and babies who died or were seriously injured. The actions that the NHS ward staff take in response to these checks will need to be signed off by the trust's board executive, including its chief nurse, chief medical officer and executive safety champion, and shared with regional and national NHS teams."
NHS England is rolling out the Maternity Outcomes Signal System (Moss) to monitor maternal and neonatal deaths and serious harms at NHS maternity wards. The system compares each ward's outcomes in real time with national statistics to estimate whether adverse outcomes are attributable to care rather than chance. Alerts trigger when outcomes occur at least twice as often as expected with 95% confidence, requiring critical safety checks within eight working days; 99% confidence alerts demand urgent attention. Ward managers must review care for affected mothers and babies. Trust executives must sign off responses and report actions to regional and national NHS teams. Retrospective analysis indicates Moss would have detected signals at trusts later found to have serious incidents.
Read at www.theguardian.com
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