{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T15:32:55Z","timestamp":1767022375138,"version":"3.48.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T00:00:00Z","timestamp":1738886400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Systematic, multi\u2010disciplinary review of Severe Acute Maternal Morbidity (SAMM) can improve maternal outcomes. Routinely collected data, collated into the Queensland SAMM Dashboard, may facilitate local case review. We wanted to understand how SAMMs are reviewed locally and how centrally collated data supports review processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The purpose of this survey was to assess local SAMM recording and review practices in Queensland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional online survey, using multiple choice and free\u2010text response formats, sampled multi\u2010disciplinary health care workers (HCW) involved in SAMM review in Queensland public maternity units. Responses were analysed for content, with thematic analysis performed on free\u2010text comments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty HCW responded from a mix of tertiary, regional and rural maternity facilities. HCW responses identified a lack of clarity around the terms \u2018maternal morbidity\u2019, \u2018SAMM\u2019 and \u2018Near\u2010Miss\u2019. HCW reported various approaches for recording and reviewing SAMM. The commonest structures were Root Cause Analysis and Human Error and Patient Safety incident analysis. Reviews commonly involved: patient safety teams (50%); staff involved in the case (45%); independent\/external reviewers (40%) and hospital management (40%). Few responses (10%) indicated consumers were involved. 30%\u201380% reviewed the ACSQHC defined SAMM, 70% Near\u2010Miss cases and up to 70% reviewed other severe maternal morbidity indicators. 20% of HCW stated lessons learned during reviews were shared with other hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In Queensland, we have found variability in: HCW understanding of SAMM definitions, how cases are recorded, reviewed and improvements facilitated. A standardised approach to SAMM review and collaboration to share lessons learned may benefit maternity care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.13945","type":"journal-article","created":{"date-parts":[[2025,2,7]],"date-time":"2025-02-07T05:18:48Z","timestamp":1738905528000},"page":"607-614","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Maternity Healthcare Worker Perspectives of Severe Acute Maternal Morbidity Recording, Reporting and Case Review in Queensland, Australia"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5268-9458","authenticated-orcid":false,"given":"Joanne","family":"Frost","sequence":"first","affiliation":[{"name":"Women's and Newborn Services Royal Brisbane and Women's Hospital  Herston Australia"},{"name":"The University of Queensland Faculty of Medicine  Herston Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7244-470X","authenticated-orcid":false,"given":"Edward","family":"Weaver","sequence":"additional","affiliation":[{"name":"The University of Queensland Faculty of Medicine  Herston Australia"},{"name":"Department of Obstetrics and Gynaecology Sunshine Coast University Hospital  Sunshine Coast Australia"},{"name":"School of Medicine and Dentistry Sunshine Coast Griffith University  Sunshine Coast Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0137-9935","authenticated-orcid":false,"given":"Leonie","family":"Callaway","sequence":"additional","affiliation":[{"name":"Women's and Newborn Services Royal Brisbane and Women's Hospital  Herston Australia"},{"name":"The University of Queensland Faculty of Medicine  Herston Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,7]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Department of Health and Aging \u201cImproving Maternity Services in Australia\u2014The Report of the Maternity Services Review (Australian Government) \u201d2009 https:\/\/webarchive.nla.gov.au\/awa\/20090227032016\/http:\/\/pandora.nla.gov.au\/pan\/95661\/20090227\u20101408\/www.health.gov.au\/."},{"key":"e_1_2_9_3_1","unstructured":"ACSQHC \u201cAustralian Commission on Safety and Quality in Health Care Annual Report 2014\/15 \u201d2015 https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/migrated\/Annual\u2010Report\u20102014\u201015.pdf."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13787"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479\u2010828X.2007.00810.x"},{"key":"e_1_2_9_6_1","unstructured":"QMPQC \u201cQueensland Mothers and Babies 2014 and 2015 Report of the Queensland Maternal and Perinatal Quality Council 2017 \u201d2018 https:\/\/clinicalexcellence.qld.gov.au\/sites\/default\/files\/docs\/qmpqc\u2010report\u20102017.pdf."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0248677"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100040\u20101715846"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010061093"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH16193"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010015\u20100483\u20106"},{"key":"e_1_2_9_12_1","unstructured":"T.Farrell \u201cRethinking Morbidity and Mortality Review Meetings In maternity Care \u201d paper presented at theObstetric Malpractice Conference Rendezvous Hotel Melbourne August 22\u201324\u00a0(Sydney NSW: Informaconnect 2018) http:\/\/www.informa.com.au\/insight\/rethinking\u2010morbidity\u2010mortality\u2010review\u2010meetings\u2010maternitycare\/."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13494_36"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/2054270414528898"},{"key":"e_1_2_9_15_1","unstructured":"\u201cRecommendations for a Sustainable Severe Acute Maternal Morbidity Audit Within the Health Quality & Safety Commission Report From the Maternal Morbidity Expert Advisory Group of the Health Quality & Safety Commission (Health Quality & Safety Commission New Zealand) \u201d2015 http:\/\/www.hqsc.govt.nz\/our\u2010programmes\/mrc\/pmmrc\/publications\u2010and\u2010resources\/publication\/2426\/."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00404\u2010015\u20103710\u20105"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12020"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102022\u2010065320"}],"container-title":["Australian and New Zealand Journal of Obstetrics and Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajo.13945","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T15:29:02Z","timestamp":1767022142000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/ajo.13945"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,7]]},"references-count":17,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1111\/ajo.13945"],"URL":"https:\/\/doi.org\/10.1111\/ajo.13945","archive":["Portico"],"relation":{},"ISSN":["0004-8666","1479-828X"],"issn-type":[{"type":"print","value":"0004-8666"},{"type":"electronic","value":"1479-828X"}],"subject":[],"published":{"date-parts":[[2025,2,7]]},"assertion":[{"value":"2024-10-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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