Maryland Obstetric Surveillance System (MDOSS)
The Maryland Obstetric Surveillance System (MDOSS) operates as an Enhanced Obstetric Surveillance System (EOSS) involving the 32 birthing hospitals in Maryland. Its primary objective is to conduct hospital-based severe maternal morbidity (SMM) surveillance and review. The overarching goal of MDOSS is to identify strategies to improve service delivery and quality of care to prevent future SMM events from occurring in Maryland hospitals. (https://mdmom.org/maternal-morbidity-surveillance ).
Mission statement
to identify, review, and learn from adverse maternal events in Maryland.
Aims
aligned with our mission, the current aims of MDOSS are:
- Measure the incidence of SMM overall and by key maternal characteristics in Maryland
- Examine primary and contributing causes of SMM in Maryland
- Assess the preventability of SMM in Maryland and factors that, if addressed, can alter the SMM outcome
- Use SMM review to Identify clinical practices that were done well and should be reinforced
- Formulate recommendations for clinical practice changes and quality improvement initiatives in Maryland hospitals
Previous studies
- Evaluating a pilot, facility-based severe maternal morbidity surveillance and review program in Maryland-An American College of Obstetricians and Gynecologists and Society for Maternal-Fetal Medicine Rx at work (https://pubmed.ncbi.nlm.nih.gov/36764455/ )
- Findings from Severe Maternal Morbidity Surveillance and Review in Maryland (https://pubmed.ncbi.nlm.nih.gov/36445707/ )
Current studies
- Comparison of preventable and nonpreventable SMM from obstetric haemorrhage;
- Assessment of the contribution of mental health and substance use disorders to SMM across the state.
Contact
Dr. Andreea Creanga (acreanga@jhu.edu) or Dr. Carrie Wolfson (cwolfso2@jhu.edu)
