Health professions education

In the Literature: Physiologic, evidence-based oxytocin protocol reduces tachysystole

As part of a larger program to achieve zero preventable birth injuries, this project’s goal was to avoid tachysystole or appropriately intervene when tachysystole occurred. Tachysystole is defined as more than 5 contractions in 10 minutes, averaged over a 30-minute window, and is often associated with induced or augmented labor.

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Filed in Blueprint, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Health professions education, Improved liability system, Performance measurement, Progress, Team building on Tue., Oct 18, 2011

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From the Field: Eliminating Preventable Perinatal Injuries and Reducing Malpractice Claims and Costs: Creating High Reliability Obstetrics Units

We intend to reduce perinatal harm and decrease malpractice events by eliciting improved compliance in 4 clinical care bundles and implementation of an evidence-based simulation training methodology focused on improving clinical staff’s ability to work in teams. We are measuring our impact through a culture of safety survey and a high reliability survey, various outcomes measures.

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Filed in Blueprint, Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical controversies, Clinical practice guideline/policy change, Decision making and choice, Health professions education, Improved liability system, Performance measurement, Performance measurement/reporting, Risk management/liability reform, Shared decision making, Skills training or drills for health professionals, Strategies, Team building on Mon., Aug 1, 2011

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From the Field: Postpartum Depression Task Force

The Postpartum Depression Task Force of Monroe County seeks to improve identification and treatment for women with perinatal mood disorders. The Task Force is a coalition of providers from all aspects of maternal-child health, including doctors, nurses, psychiatrists, psychologists, social workers, doulas, childbirth educators, hospital and medical office administrators, and consumers. Measures include attendance at continuing education events; numbers of in-services and outreach events; as well as improved identification and referral systems within the hospital as well as in the community.

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Filed in Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Community education/outreach, Educational materials for health professionals, Health professions education, Shared decision making, Staffing/care coordination change, Stories from the Field, Team building on Thu., Jul 14, 2011

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From the Field: Community Doula Initiative

HPC Community Doulas is a non profit 501(c) 3 maternal-infant agency dedicated to serve low income pregnant women receiving prenatal care at federally qualified health centers in Hudson County, NJ. Our grant is committed to reducing perinatal disparities in birth outcomes, so we offer free community doulas to pregnant women on Medicaid and/or enrolled in the WIC program.

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Filed in Care coordination, Community education/outreach, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Performance measurement, Shared decision making, Skills training or drills for health professionals, Stories from the Field, Team building, Workforce on Thu., Jul 14, 2011

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From the Field: Rattle Wraps – Patient Advocacy for Infant Caregivers

James’s Project sets out to reduce the US infant mortality rate and improve maternal health by raising awareness of patient safety issues in these areas. This is done by using the tools of education, communication and collaboration.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Community education/outreach, Consumer advocacy or political action, Decision making and choice, Educational materials for health professionals, Health professions education, Risk management/liability reform, Shared decision making, Staffing/care coordination change, Stories from the Field, Strategies, Team building on Mon., Jul 11, 2011

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From the Field: The Birth Trust

The Birth Trust provides funding for projects that advance midwifery and woman-centered childbirth or reduce birth disparities through educational, policy, and research projects. The Birth Trust is a grant-making fund where donors and birth activists commit a certain amount monthly and then vote and select which projects get funded. Since the Birth Trust launched in 2010, nine very diverse projects have been selected.

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Filed in Care coordination, Clinical controversies, Consumer advocacy or political action, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Nursing/medical/midwifery curriculum change, Payment/reimbursement change, Scope of covered services, Skills training or drills for health professionals, Stories from the Field on Tue., Jul 5, 2011

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From the Field: Breastfeeding 101 for Healthcare Professionals

Six educational sessions will be provided via teleconferencing through the University Of Arkansas Medical Sciences across the state of Arkansas to healthcare providers who have access to teleconferencing. The project is promoting breastfeeding in Arkansas and raising the standards.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Decision making and choice, Educational materials for health professionals, Health professions education, Performance measurement, Performance measurement/reporting, Skills training or drills for health professionals, Stories from the Field, Team building on Tue., Apr 5, 2011

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From the Field: Access to doula care through a community based program

Grant funds were acquired to implement a doula program for Crittenden Regional Hospital, a rural hospital in Arkansas. Trainings were established to train lay women to work in the program. Trainings were also provided for healthcare professionals to introduce gentle birth practices, and the role of a doula, and doulas working as part of the health care team.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Decision making and choice, Disparities, Educational materials for health professionals, Health professions education, New care delivery model, Performance measurement, Performance measurement/reporting, Scope of covered services, Skills training or drills for health professionals, Stories from the Field, Strategies, Team building on Tue., Apr 5, 2011

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In the Literature: HCA reduces liability claims, cesarean sections with comprehensive patient safety approach

The general approach described in this article is the standardization of practices and protocols for several clinical situations associated with high risk of injury or harm, specifically use of oxytocin, misoprostol, or magnesium sulfate; operative vaginal delivery; and the management of shoulder dystocia and abnormal fetal heart rate tracings. In the period since the implementation of the comprehensive patient safety program, HCA saw a dramatic decrease in malpractice claims and loss rates. In addition, the primary cesarean section rate fell despite a generally liberal approach to operative delivery.

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Filed in Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Health professions education, Improved liability system, In the Literature, Performance measurement/reporting, Risk management/liability reform, Team building on Tue., Mar 15, 2011

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From the Field: CMQCC Toolkit: Elimination of Non-medically Indicated (Elective) Deliveries Before 39 Weeks Gestational Age

The primary aim of this toolkit is to help hospitals implement process changes to eliminate elective deliveries before 39 weeks in California and to help disseminate and determine best practices for prevention of early deliveries. It also aims to outline the most effective strategies for supporting California health care providers in implementing those practices.

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Filed in Care coordination, Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Decision making and choice, Educational materials for health professionals, Health professions education, Performance measurement, Performance measurement/reporting, Progress, Skills training or drills for health professionals, Stories from the Field on Tue., Mar 15, 2011

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