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With the increasing attention to maternal mortality and severe morbidity, quality assurance and improvement efforts have risen in prominence in the U.S. Nonetheless, uptake of quality assurance (QA) tools (e.g., simulation, audit and feedback, staff training) has not been regularly measured at the level of individual maternity hospitals. Investigators surveyed all 245 maternity hospitals in California regarding their QA practices.
Among 185 responding hospitals (response rate, 78%), nearly all tracked indicators such as primary cesarean delivery and patient satisfaction, while fewer engaged in quality improvement efforts aimed at reducing primary cesarean rates (77%) or tracking episiotomy rates (60%). Only 29% of hospitals required formal c…