Standardization of intrapartum management and impact on adverse outcomes

Clinical Obstetrics and Gynecology

Volumn 54, Issue 1, 2011, Pages 8-15

  Pettker, Christian M ^a,b  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b Labor and Birth Unit   (United States)

Author keywords

Adverse outcomes; Fetal heart rate monitoring; Patient safety; Protocols; Tandardization

Indexed keywords

MAGNESIUM SULFATE; MISOPROSTOL; OXYTOCIN; PROSTAGLANDIN;

ADVERSE OUTCOME; APGAR SCORE; ARTICLE; BLOOD TRANSFUSION; CESAREAN SECTION; CHECKLIST; CLINICAL PROTOCOL; COMPUTERIZED PROVIDER ORDER ENTRY; CONTINUING EDUCATION; DIABETES MELLITUS; EMERGENCY HEALTH SERVICE; FETUS ELECTROCARDIOGRAPHY; HOSPITAL ADMISSION; HUMAN; HYPERTENSION; INTENSIVE CARE; INTRAPARTUM CARE; LABOR; MALPRACTICE; MATERNAL MORTALITY; MEDICAL EDUCATION; MEDICAL RECORD; NEWBORN DEATH; NEWBORN INTENSIVE CARE; PATIENT CARE; PATIENT SAFETY; PERINATAL DEATH; PERINATAL PERIOD; PREECLAMPSIA; PREMATURE FETUS MEMBRANE RUPTURE; PREMATURE LABOR; STANDARDIZATION; TRAUMATIC BRAIN INJURY; UTERUS RUPTURE;

BIRTH INJURIES; CHECKLIST; DELIVERY, OBSTETRIC; EDUCATION, MEDICAL, CONTINUING; ELECTRONIC HEALTH RECORDS; FEMALE; FETAL MONITORING; HEART RATE, FETAL; HUMANS; LABOR, OBSTETRIC; MEDICAL ERRORS; MEDICAL ORDER ENTRY SYSTEMS; PRACTICE GUIDELINES AS TOPIC; PREGNANCY; QUALITY IMPROVEMENT; TERMINOLOGY AS TOPIC;

EID: 79951644099     PISSN: 00099201     EISSN: None     Source Type: Journal    
DOI: 10.1097/GRF.0b013e31820a033d     Document Type: Article

References (20)

1. Kohn L, Corrigan J, Donaldson M, eds. To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.
2. Chantler C. The role and education of doctors in the delivery of health care. Lancet. 1999;353:1178-1181. (Pubitemid 29155223)
3. Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter- related bloodstream infections in the ICU. N Engl J Med. 2006;355:2725-2732. (Pubitemid 46021509)
4. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med. 2009;360:491-499.
5. Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108:1073-1083. (Pubitemid 44665400)
6. DeFrances C, Cullen K, KozakL.National Hospital Discharge Survey: 2005 annual summary with detailed diagnosis and procedure data. National Center for Health Statistics. Vital Health Stat. 2007;13.
7. Clark SL, Belfort MA, Dildy GA, et al. Reducing obstetric litigation through alterations in practice patterns. Obstet Gynecol. 2008;112:1279-1283.
8. Electronic fetal heart rate monitoring: research guidelines for interpretation. National Institute of Child Health and Human Development Research Planning Workshop. Am J Obstet Gynecol. 1997;177:1385-1390.
9. Simpson KR, Knox GE. Risk management and electronic fetal monitoring: decreasing risk of adverse outcomes and liability exposure. J Perinat Neonatal Nurs. 2000;14:40-52.
10. JCAHO. Sentinel Event Alert #30. Available at http://www.jointcommission. org/SentinelEvents/SentinelEventAlert/sea-30.htm. Accessed September 9, 2009.
11. ACOG. Medical Liability Survey Reaffirms More Ob-Gyns Are Quitting Obstetrics. Available at . org/from-home/publications/press-releases/nr07-16-04. cfm. Accessed September 22, 2009.
12. Macones GA, Hankins GD, Spong CY, et al. The 2008 National Institute of Child Health and Human Development workshop report on electronic fetal monitoring: update on definitions, interpretation, and research guidelines. Obstet Gynecol. 2008;112:661-666.
13. Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200:492e491- 492e498.
14. Pettker CM, Funai EF. Clinical practice guidelines and scientific evidence. JAMA. 2009;302:143; author reply 145-147.
15. Clark S, Belfort M, Saade G, et al. Implementation of a conservative checklist- based protocol for oxytocin administration: maternal and newborn outcomes. Am J Obstet Gynecol. 2007;197: 480e481-480e485.
16. Gawande A. The Checklist Manifesto: How to get Things Right. 1st ed. New York, NY: Metropolitan Books; 2009.
17. Minkoff H, Berkowitz R. Fetal monitoring bundle. Obstet Gynecol. 2009;114: 1332-1335.
18. Mann S, Pratt S, Gluck P, et al. Assessing quality in obstetrical care: development of standardized measures. Jt Comm J Qual Patient Saf. 2006;32:497-505.
19. Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Am J Obstet Gynecol. 2008;199:105e101-105e107.
20. MacEachin SR, Lopez CM, Powell KJ, et al. The fetal heart rate collaborative practice project: situational awareness in electronic fetal monitoring-a Kaiser Permanente Perinatal Patient Safety Program Initiative. J Perinat Neonatal Nurs. 2009;23:314-323.