AHRQ Patient Safety Network

The Collection > Obstetrics

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (7)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (26)

•Medical Complications (21)

•Nonsurgical Procedural Complications (42)

•Surgical Complications (20)

•Psychological and Social Complications (8)

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•Asia (2)

•Australia and New Zealand (2)

Resource Types

•Journal Article (123)

•Legislation/Regulation (10)

•Newspaper/Magazine Article (12)

•Special or Theme Issue (7)

•Tools/Toolkit (1)

•Web Resource (1)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (13)

•Active Errors (27)

•Latent Errors (11)

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Approach to Improving Safety

•Quality Improvement Strategies (57)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (32)

•Communication Improvement (53)

•Human Factors Engineering (14)

•Teamwork (48)

•Specialization of Care (12)

•Logistical Approaches (5)

•Culture of Safety (24)

•Technologic Approaches (12)

•Education and Training (58)

Clinical Areas
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Obstetrics

Target Audience

•Health Care Providers (125)

•Health Care Executives and Administrators (124)

•Non-Health Care Professionals (52)

•Patients (15)

Setting of Care

•Hospitals (132)

•Ambulatory Care (9)

•Outpatient Surgery (2)

1 - 20 of 164

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COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

COMMENTARY

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

TOOLKIT

Perinatal SBAR Tools.

Institute for Healthcare Improvement.

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.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

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

NEWSPAPER/MAGAZINE ARTICLE

Lights. Camera. Robot Action!

Shute N. U.S. News & World Report. January 23, 2006;140:62-63.

SPECIAL OR THEME ISSUE

Iatrogenic Disease.

Hermansen MC, ed. Clin Perinatal. 2008;35:1-292.

COMMENTARY

The road to zero preventable birth injuries.

Mazza F, Kitchens J, Akin M, et al. Jt Comm J Qual Patient Saf. 2008;34:201-205.

STUDY

Liability associated with obstetric anesthesia: a closed claims analysis.

Davies JM, Posner KL, Lee LA, Cheney FW, Domino KB. Anesthesiology. 2009;110:131-139.

AWARD RECIPIENT

Beth Israel cited for improving obstetrics care.

Kowalczyk L. Boston Globe. March 29, 2007:4B.

STUDY

Failure to rescue as a process measure to evaluate fetal safety during labor.

Beaulieu MJ. MCN Am J Matern Child Nurs. 2009;34:18-23.

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

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

Recurrent obstetric management mistakes identified by simulation.

Maslovitz S, Barkai G, Lessing JB, Ziv A, Many A. Obstet Gynecol Surv. 2007;62:636-638.

COMMENTARY

Getting to havarti: moving toward patient safety in obstetrics.

Veltman LL. Obstet Gynecol. 2007;110:1146-1150.

STUDY

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

Andreatta P, Frankel J, Smith SB, Bullough A, Marzano D. Am J Obstet Gynecol. 2011;205:298-230.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #327: "Do not use" abbreviations.

ACOG Committee on Quality Improvement and Patient Safety. Obstet Gynecol. 2006;107:213-214.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #464: patient safety in the surgical environment.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:786-790.

STUDY

Nurse-physician communication during labor and birth: implications for patient safety.

Simpson KR, James DC, Knox GE. J Obset Gynol Neonatal Nurs. 2006;35:547-556.

BOOK/REPORT

How-to Guide: Prevent Obstetrical Adverse Events.

Cambridge, MA: Institute for Healthcare Improvement; 2012.

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