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Perinatal Mortality and Morbidity Event Review Tool

Background

Although pregnancy and childbirth are normally uncomplicated events, this is sadly not true for every case. To prevent this from happening, it is important to review these cases in depth and learn from them.

The introduction of the PMMERT tool has the objective of creating a national standard for reviewing cases of morbidity and mortality in Ireland. By using this review tool, we can figure out what may have gone wrong or if there were any problems with how the woman or baby were taken care of.

 

How does it work?

Every hospital has access to the PMMERT tool. After an event, the hospital group will fill in the form and hold a meeting to discuss the care provided to the woman and her baby based on the information recorded on the tool.

The findings from each case will then be  anonymously shared  to all units, ensuring that the learning is spread and that actions are taken to prevent the event from happening again.  The findings of the review will also be communicated to the  families.
 

Objectives

  • To produce high-quality reviews of the circumstances and care leading up to and surrounding each adverse event.
  • Active communication with parents to ensure they are told that a review of their care and that of their baby will be carried out and how they can contribute to the process.
  • To identify quality improvement initiatives and make recommendations for the improvement of maternity care for women in Ireland

 

Progress

October 2024: The PMMERT tool is being used in two hospital groups and a third hospital group is being set up into the system.



For more information please contact:

Colleen Curran

Email: colleen.curran@ucc.i.e

Phone number: +353 (0)21 420 5053

National Perinatal Epidemiology Centre (NPEC)

Dept. of Obstetrics and Gynaecology, 5th Floor, Cork University Maternity Hospital, Wilton, Cork,

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