AHRQ Patient Safety Network

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Nonsurgical Procedural Complications

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1 - 20 of 132

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STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

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

SPECIAL OR THEME ISSUE

Obstetric Issues.

PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.

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.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

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.

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

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.

COMMENTARY

A simple checklist for preventing major complications associated with cesarean delivery.

Duff P. Obstet Gynecol. 2010;116:1393-1396.

REVIEW

Overview of progress on patient safety.

Pronovost PJ, Holzmueller CG, Ennen CS, Fox HE. Am J Obstet Gynecol. 2011;204:5-10.

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.

STUDY

Speaking across the drapes: communication strategies of anesthesiologists and obstetricians during a simulated maternal crisis.

Minehart RD, Pian-Smith MC, Walzer TB, et al. Simul Healthc. 2012;7:166-170.

REVIEW

The case for simulation as part of a comprehensive patient safety program.

Argani CH, Eichelberger M, Deering S, Satin AJ. Am J Obstet Gynecol. 2012;206:451-455.

REVIEW

Perinatal high reliability.

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

STUDY

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

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.

REVIEW

Simulation in obstetric anesthesia.

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

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.

COMMENTARY

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

Thyen AB, McAllister RK, Councilman LM. J Patient Saf. 2010;6:244-246.

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