Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.
Bernstein SL, Catchpole K, Kelechi TJ, et al. Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration. Jt Comm J Qual Patient Saf. 2022;48(6-7):309-318. doi:10.1016/j.jcjq.2022.02.007.
Maternal morbidity and mortality continues to be a significant patient safety problem. This mixed-methods study identified system-level factors affecting registered nurses during care of people in labor experiencing clinical deterioration. Task overload, missing or inadequate tools and technology, and a crowded physical environment were all identified as performance obstacles. Improving nurse workload and involving nurses in the redesign of tools and technology could provide a meaningful way to reduce maternal morbidity.