149055 - 2019 - Maternity and Newborn Emergencies (MANE) Program
The Maternity and Newborn Emergencies (MANE) Program has been designed in response to the Dr Stephen Duckett report Targeting Zero, the Report of the Review of Hospital Safety and Quality Assurance in Victoria (2016).
It is a collaborative program between Maternity Services Education Program (MSEP), the Royal Women’s Hospital and Paediatric Infant Perinatal Emergency Retrieval Service (PIPER), the Royal Children’s Hospital. It addresses current evidence-based clinical practice guidelines for rural and regional maternity services with highlighted themes of:
2. Quality & safety, incorporating the Australian Commission on Safety and Quality in Health Care (ACSQHC) National Safety and Quality Health Service (NSQHS) Standards
3. Organisational transparency
4. Escalation processes, including human factors
5. Learning from clinical incidents (ISRs) relevant to the site (element of tailoring to individual site requirements and responsiveness to significant incidents)
In March 2015, the Department of Health and Human Services (DHHS) was notified by the Consultative Council on Obstetric and Paediatric Mortality and Morbidity (CCOPMM), of a cluster of perinatal deaths that had occurred at Djerriwarrh Health Services (DjHS) between 2013 and 2014.
An expert review was undertaken by Professor Euan Wallace, Report of an Investigation into Perinatal Outcomes at Djerriwarrh Health Services. This report identified that a number of the deaths were avoidable or potentially avoidable.
In response to a number of prior reports, the Minister for Health requested an additional review by Dr Stephen Duckett, Targeting Zero, the Report of the Review of Hospital Safety and Quality Assurance in Victoria.
The MANE program addresses the highlighted need for education and clinical expertise within rural and regional Victorian maternity services.