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Maternal Safety

Last Updated: December 23, 2022
Created By: Lorri Zipperer, Cybrarian, AHRQ PSNet Team

Description
Ensuring maternal safety is a patient safety priority. This library reflects a curated selection of PSNet content focused on improving maternal safety. Included resources explore strategies with the potential to improve maternal care delivery and outcomes, such as high reliability, collaborative initiatives, teamwork, and trigger tools.
Library Organization
Custom - This library is organized by custom section header names.
Foundations (6)

Pregnancy, childbirth, and the postpartum year present a complex set of patient safety challenges. Numerous maternal safety initiatives aim to prevent errors and harm, while enhancing readiness to address maternal complications.

Audrey Lyndon, RN, PhD |

This perspective examines the troubling decline in maternal health outcomes in the United States and summarizes recent national initiatives to improve safety in maternity care.

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

This review provides background on high-reliability organizations and discusses how these concepts are applied in obstetric care.

American College of Obstetricians and Gynecologists.

This website provides information from a multidisciplinary collaboration whose mission was to support safe health care for pregnant and post partum people. The site, maintained by the American College of Obstetricians and Gynecologists, includes... Read More

Rockville, MD: Agency for Healthcare Research and Quality. June 2017.

Communication in labor and delivery units can be challenging. This AHRQ-funded program draws from comprehensive unit-based safety program principles to reduce errors in maternal and neonatal care. The toolkit provides guidance and materials focused on enhancing... Read More

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Shields LE, Wiesner S, Klein C, et al. Am J Obstet Gynecol. 2016;214:527.e1-527.e6.

Many organizations, including The Joint Commission and the National Partnership for Maternal Safety, recommend the use of early warning systems when treating maternity patients. This prospective study evaluated a maternal early... Read More

Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022. 

This toolkit focuses on identification of, and rapid response to, sepsis in obstetric patients. It includes screening, evaluation and monitoring, and antibiotic use recommendations for maternal sepsis patient.

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National Center for Chronic Disease Prevention and Health Promotion, Division of Reproductive Health; Centers for Disease Control and Prevention. 

Maternal harm during and after pregnancy is a sentinel event. This campaign encourages women, families, and health providers to identify and speak up with concerns about maternal care and act on them. The program seeks to inform the design of support systems and tool development... Read More

Cornthwaite K, Alvarez M, Siassakos D. Best Pract Res Clin Obstet Gynaecol. 2015;29:1044-1057.

Obstetric care is considered a high-risk environment. Highlighting the importance of coordinated teamwork during obstetric emergencies, this review discusses strategies to augment clinical outcomes in this setting, including team training, communication improvement, and... Read More

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All Library Content (23)
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Cornthwaite K, Alvarez M, Siassakos D. Best Pract Res Clin Obstet Gynaecol. 2015;29:1044-1057.
Obstetric care is considered a high-risk environment. Highlighting the importance of coordinated teamwork during obstetric emergencies, this review discusses strategies to augment clinical outcomes in this setting, including team training, communication improvement, and situational awareness.
Knox E, Simpson KR. Am J Obstet Gynecol. 2011;204:373-377.
This review provides background on high-reliability organizations and discusses how these concepts are applied in obstetric care.
Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.
Implementing a comprehensive safety program, which included teamwork training, additional staffing and reduction of work hours, electronic medical records, and a dedicated patient safety nurse, was associated with a sharp reduction in malpractice lawsuits and sentinel events at an academic hospital.