BAMM is looking for experts in EM with an interest in obstetrical care. We explain more in detail what is expected from the national experts and the methodology.
BAMM: Belgian Analysis system for Maternal Mortality: a project supported by the FOD and launched since January 2021
15 maternal deaths per year
Methodology
- is explained in a timeline and protocol: Methodology of BAMM | B-OSS
Involvement in the National Expert ‘assessment’ of maternal deaths (see timeline):
- Core experts in the National Expert team: 4 obs/gynaecologists, 4 midwifes, 2 anaesthetists.
- Besides other ‘experts’ based on the case (cardiologists, infectiologists, psychiatrists, hematologists, IC specialists and EM physicians)
- 2 EM physicians per case of maternal death + extra EM physicians as back-up (in case of ‘conflict of interest’, in case of non-availability). Thus: 8 (senior) EM physicians, eventually with special interest in obstetrics. Flemish, Bxl/Wallonia
- ‘nominated’ as BAMM experts for a period of 3 years
Workload:
- At most 15 cases of maternal deaths per year. EM physicians will only be involved when this is considered appropriate based on the cause of death and history of the patient.
- Two to three times per year they will be invited to a live meeting with all national expert team members around the table, to assess the cases.
- Before the live meeting, they will be invited to ‘assess’ the case online.
- Experts will have access to ‘pseudonomised’ case notes, and will be asked to
- identify the underlying causes of the death
- give their opinion on statements on contributing factors in the maternal death (a Likert scale)
- formulate recommendations
- During the live meeting, a second (briefer) online round will follow, with adopted questions (based on a Delphi methodology) in search for consensus between the experts.
Conditions:
- They must sign a statement of confidentiality for 3 years
- They must sign a declaration of potential conflict of interest
- We will replace the half-day course, organised by the FOD, on incident analysis, by a shorter online presentation.
- This work is on a voluntary basis, they will only receive the honor to be part of this nominated national expert team