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.
Posts tagged with 'augmentation of labor'
In the Literature: Geisinger’s ProvenCare safely reduces cesarean rate with implementation of evidence-based guidelines
Geisinger Health Systems in Pennsylvania set out “to demonstrate that a large integrated health care delivery system, enabled by an electronic health record (EHR), could successfully reengineer a complicated clinical process, reduce unwarranted variation, and reliably deliver evidence-based care.” Geisinger has successfully demonstrated effectiveness in acute care specialties with their ProvenCare system and sought to adapt it to perinatal care, for the first time addressing a largely well population and integrating multiple outpatient clinics.
Keystone: OB focuses on preventing elective inductions and elective cesareans before 39 weeks. We are also focused on assuring safe care during labor induction, augmentation, and the second stage of labor. In addition, we provide recommendations on electronic fetal monitoring, and most importantly improving the culture of safety in the unit.
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.