AHRQ Patient Safety Network

The Collection > Labor and Delivery

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (18)

•Medical Complications (18)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (18)

•Psychological and Social Complications (4)

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•Newspaper/Magazine Article (13)

•Special or Theme Issue (6)

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•Epidemiology of Errors and Adverse Events (14)

•Active Errors (20)

•Latent Errors (9)

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Approach to Improving Safety

•Quality Improvement Strategies (35)

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•Error Reporting and Analysis (19)

•Communication Improvement (44)

•Human Factors Engineering (12)

•Teamwork (44)

•Specialization of Care (12)

•Logistical Approaches (5)

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•Education and Training (52)

Clinical Areas

•Medicine (122)

•Nursing (13)

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Target Audience

•Health Care Providers (93)

•Health Care Executives and Administrators (93)

•Non-Health Care Professionals (46)

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Setting of Care
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Labor and Delivery

1 - 20 of 124

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NEWSPAPER/MAGAZINE ARTICLE

Maternity ward at Highland under fire from patients.

Vesely R. Inside Bay Area. December 28, 2006.

COMMENTARY classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

STUDY

Major congenital malformations after first-trimester exposure to ACE inhibitors.

Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. N Engl J Med. 2006;354:2443-2451.

STUDY

Oxytocin as a high-alert medication: implications for perinatal patient safety.

Simpson KR, Knox GE. MCN Am J Matern Child Nurs. 2009;34:8-15.

AUDIOVISUAL PRESENTATION classic

First, Do No Harm Part 1: A Case Study of Systems Failure.

Producer: Partnership for Patient Safety & Risk Management Foundation. Chicago, IL: Partnership for Patient Safety; 2000.

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

The day Joy died.

Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.

NEWSPAPER/MAGAZINE ARTICLE

200 epidural blunders admitted after three women die.

Oakeshott I. The Sunday Times. June 18, 2006.

STUDY

Challenges faced in providing safe care in rural perinatal settings.

Jukkala AM, Kirby RS. MCN Am J Matern Child Nurs. 2009;34:365-371.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

SPECIAL OR THEME ISSUE

Patient Safety and Quality.

Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24:1-89.

REVIEW

Perinatal high reliability.

Knox GE, Simpson KR. Am J Obstet Gynecol. 2011;204: 373-377.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

REVIEW

Sleep deprivation: implications for obstetric practice in the United States.

Clark SL. Am J Obstet Gynecol. 2009;201:136.e1-e4.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

COMMENTARY

Interdisciplinary team training: five lessons learned.

Contratti F, Ng G, Deeb J. Am J Nurs. 2012;112:47-52.

COMMENTARY

A system-wide initiative to prevent retained vaginal sponges.

Chagolla BA, Gibbs VC, Keats JP, Pelletreau B. MCN Am J Matern Child Nurs. 2011;36:312-317.

NEWSPAPER/MAGAZINE ARTICLE

State: nurse error caused death.

Wahlberg D. Wisconsin State Journal. July 22, 2006:A1.

STUDY

Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes.

Pratt SD, Mann S, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2007;33:720-725.

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