For the first time, major U.S. maternity care professional organizations have issued a joint statement on maternity care quality. Titled, Quality Patient Care in Labor and Delivery: A Call to Action, the white paper comes out strongly in favor of: woman- and family-centered care, including effective and culturally sensitive communication; shared decision making effective teamwork, especially during obstetric emergencies; and performance measurement and leveraging of results to improve quality.
Posts tagged with 'patient safety'
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.
The Partnership for Patients national program for improving patient safety is one of the first times we’ve seen maternity care on the national agenda, with reducing obstetrical adverse events highlighted as one of ten national priority patient safety areas. Together with the National Priorities Partnership, the Partnership for Patients will offer a free webinar on September 28 about patient safety in maternity care. The webinar will address strategies to meet the national goal of eliminating 30% of preventable obstetrical adverse events and will feature Childbirth Connection’s Maureen Corry.
As we shift the conversation from whether to do VBACs to how to enable more of them, focus on quality and safety in the context of VBAC is long overdue. According to new government statistics, nearly one in five of the more than 4 million births each year in the United States occur to women who have previously given birth by cesarean. If evidence supports VBAC as a “reasonable option” for most of this population and indeed the better option for many, it is time to be reasonable about how to make VBAC as safe, accessible, and satisfying as it can possibly be.
With power outages and last-chance summer vacations, it feels a bit like life has slowed down in anticipation of the busyness that comes with fall. But while conference calls and meetings are a little sparser, the medical literature seems to be serving up a larger than average helping of important evidence and commentary. Maybe your Labor Day Weekend reading list has lighter fare, but here’s what we’re reading…
For all scheduled cesarean deliveries, the hospital introduced a preoperative checklist to verify patient identity, indication for caesarean section, allergies, and presence of neonatology staff and a postoperative check to verify analgesia, oxytocic prescription, antibiotics, thromboprophylaxis and skin contact between mother and baby. Researchers examined staff attitudes before and after introduction of the checklists, checklist compliance, and whether patients experienced anxiety or were reassured by the process.
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.
In the Literature: At Intermountain, process improvement reduces inductions, cesareans, NICU admissions, and costs
As a result of process improvement efforts bolstered by robust information systems, the proportion of all inductions that lacked strong indications for clinical appropriateness fell from 28 percent to less than 2 percent. The project also resulted in decreases in both NICU admissions and cesareans, and Intermountain estimates that the elective induction protocol reduces health care costs in Utah by $50 million per year.
I just flew home from a family vacation yesterday, and while I worked to soothe my 7-year old’s jittery nerves as the plane took off, the headlines that air travel is safer than hospitalization was little solace to me. That’s because I’m aware of the statistics that hospitalization is far too often simply unsafe. In fact, the Institute of Medicine has estimated that the number of people who die as a result of medical errors and hospital acquired infections is equivalent to a jumbo jet crashing every single day.
There is much room for improvement in patient safety in all areas of health care and maternity care is no exception. Thankfully the growing safety field and consumer movement have produced many examples of improvements that make care safer and avert preventable deaths and injuries.
NH Patient Voices’s mission is education and advocacy for safe, quality, compassionate healthcare that puts patients & their families at the center of care in both policy and practice. Since 2005, we’ve worked tirelessly to bring the collective voice of patients to healthcare providers, administrators, legislators, public policy, and public health leaders.