Hypothesis: Continuously monitor quality indicators with a specific method (CUSUM: Cumulative
Sum) will increase the awareness of health care staff in maternity and permit rapid detection
of a small dip in performance in order to enable prompt investigations and corrective
measures when necessary , which decrease maternal and neonatal mortality and morbidity.
Objective: To assess the impact of Cumulative Sum (CUSUM) charts used as a maternity
dashboard to decreases maternal and neonatal mortality and morbidity.
Design: Step-wedge cluster-randomized trial with prospective analyses of collected data.
Setting: ten Maternity departments in France. Population: Data from 60 000 women and infants
could be collected over 2 year's period.
Method: Cumulative sum (CUSUM) charts were used to monitor the rate of quality indicators
previously selected by Delphi method.
Main Outcome Measures: Composite outcome that considers multiple clinical events : mortality,
adverse outcomes for women and newborn.