Posts tagged with 'induction of labor'

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: A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims

After implementation of this comprehensive patient safety program, birth trauma rates decreased, the number of obstetrical occurrences (specified birth-related event or injury that may lead to a claim) decreased by 65%, and the average costs per obstetrical claim decreased. The number of new claims reported decreased by 48%.

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Filed in Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Improved liability system, In the Literature, Performance measurement, Performance measurement/reporting, Risk management/liability reform, Staffing/care coordination change, Team building on Sun., Apr 3, 2011

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From the Field: Washington State Perinatal Collaborative Reducing Elective Delivery Before 39 Weeks Project

The collaborative is seeking to understand the reason for rising C-Section rates and possible modifiable factors leading to this rise. The collaborative believes that the variation among hospitals in cesarean, VBAC, and induction rates are affecting maternal and infant health across the state of Washington. To address these variations the collaborative is engaging agencies, hospitals, organizations, and the community to encourage birthing hospitals to collaborate and address issues such as inductions, trial of labor, appropriate admissions, and accessibility to vaginal births after cesareans. The first initiative uses the March of Dimes Toolkit and other resources to reduce early elective deliveries in the state of Washington.

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Filed in Clinical practice guideline/policy change, Payment reform, Payment/reimbursement change, Performance measurement, Performance measurement/reporting, Stories from the Field on Fri., Mar 18, 2011

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From the Field: Michigan Health and Hospital Association Keystone: OB

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.

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Filed in Clinical audit, case review, or analysis of adverse events, Clinical controversies, Clinical practice guideline/policy change, Educational materials for health professionals, Performance measurement, Performance measurement/reporting, Stories from the Field, Team building on Thu., Mar 17, 2011

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From the Field: Oklahoma Office of Perinatal Quality Improvement Every Week Counts Project

The goal is to eliminate elective deliveries prior to 39 weeks. All OB hospitals in Oklahoma have been invited to participate. Currently, 50 out of 60 have registered. This will include a process change for scheduling elective inductions or cesareans–they must be at least 39 weeks on the date they are scheduled to deliver. We will use the March of Dimes toolkit to aid in this process. Included will be policies, a scheduling form and data collection tools. Patient education and public awareness of the risks will be addressed by providing free patient education materials and by developing a PSA to be broadcast statewide.

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Filed in Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Decision making and choice, Educational materials for health professionals, Performance measurement, Performance measurement/reporting, Shared decision making, Stories from the Field, Uncategorized on Tue., Mar 15, 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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From the Field: Leapfrog Hospital Survey: Hospital Rates of Early Elective Deliveries

Childbirth Connection, the Leapfrog Group, and the March of Dimes have partnered to offer a suite of resources to reduce early elective deliveries.

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Filed in Blueprint, Childbirth Connection, Clinical controversies, Decision making and choice, Performance measurement, Performance measurement/reporting, Progress, Stories from the Field on Sun., Mar 6, 2011

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In the Literature: A statewide initiative in Ohio reduces scheduled births before 39 weeks with no documented medical indication

A quality collaborative consisting of twenty hospitals in the state of Ohio representing 47% of all births in the state came together to reduce the number of scheduled births occurring before 39 weeks gestation without an appropriate documented medical indication. The collaborative reported that the rate of scheduled births taking place between 36 and 39 weeks gestation decreased significantly from 25% to <5% in participating hospitals in one year.

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Filed in Blueprint, Clinical controversies, Clinical practice guideline/policy change, Community education/outreach, Educational materials for health professionals, In the Literature, Performance measurement, Performance measurement/reporting, Team building on Sun., Mar 6, 2011

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