AHRQ Patient Safety Network

The Collection > Obstetrics

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (6)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (20)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (27)

•Medical Complications (25)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (22)

•Psychological and Social Complications (9)

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•Africa (1)

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Resource Types

•Journal Article (128)

•Legislation/Regulation (10)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (7)

•Tools/Toolkit (1)

•Web Resource (1)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (14)

•Active Errors (28)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (61)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (35)

•Communication Improvement (58)

•Human Factors Engineering (14)

•Teamwork (47)

•Specialization of Care (12)

•Logistical Approaches (7)

•Culture of Safety (28)

•Technologic Approaches (14)

•Education and Training (65)

Clinical Areas
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Obstetrics

Target Audience

•Health Care Providers (127)

•Health Care Executives and Administrators (128)

•Non-Health Care Professionals (59)

•Patients (15)

Setting of Care

•Hospitals (135)

•Ambulatory Care (9)

•Outpatient Surgery (2)

1 - 20 of 171

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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.

STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #367: communication strategies for patient handoffs.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2007;109:1503-1505.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

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.

COMMENTARY

Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery.

Lutgendorf MA, Schindler LL, Hill JB, Magann EF, O'Boyle JD. Mil Med. 2011;176:702-704.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

Sentinel Event Alert. January 26, 2010;(44):1-4.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

BOOK/REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.

STUDY

A systematic approach to the identification and classification of near-miss events on labor and delivery in a large, national health care system.

Clark SL, Meyers JA, Frye DR, McManus K, Perlin JB. Am J Obstet Gynecol. 2012;207:441-445.

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

COMMENTARY

Improving patient safety with team coordination: challenges and strategies of implementation.

Harris KT, Treanor CM, Salisbury ML. J Obset Gynol Neonatal Nurs. 2006;35:557-566.

BOOK/REPORT

Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).

Berns SD, ed. White Plains, NY: March of Dimes; December 2010.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

REVIEW

Simulation in obstetric anesthesia.

Pratt SD. Anesth Analg. 2012;114:186-190.

STUDY

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396.

COMMENTARY

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.

COMMENTARY

Tubing safety in the obstetric setting: preventing medication errors.

Broussard BS. Nurs Womens Health. 2009;13:155-158.

STUDY

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

Kearns RJ, Uppal V, Bonner J, Robertson J, Daniel M, McGrady EM. BMJ Qual Saf. 2011;20:818-822.

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