Combs CA, Goffman D, Pettker CM. Am J Obstet Gynecol. 2022;226:B2-B9.
Readmission reduction as an improvement measure has been found to be problematic as a maternal safety outcome. This statement shares concerns regarding incentivizing hospitalization reductions after birth and explores the potential for patient harm due to pressures to reduce readmissions when needed.
Combs CA, Einerson BD, Toner LE. Am J Obstet Gynecol. 2021;225:b43-b49.
Maternal and newborn safety is challenged during cesarean delivery due to the complexities of the practice. This guideline recommends specific checklist elements to direct coordination and communication between the two teams engaged in cesarean deliveries. The guideline provides a sample checklist and steps for its implementation.
Gibson KS, McLean D. Am J Obstet Gynecol. 2020;223:B12-B15.
Patient transport is vulnerable to a range of errors that can affect patient care. This guidance explores the use of a checklist to standardize team communication and coordination during maternal transport between two locations.
Munoz-Price S, Bowdle A, Johnston L, et al. Infect Control Hosp Epidemiol. 2018:1-17.
This expert guidance provides recommendations to help health care facilities develop policies for preventing health care–associated infections in the operating room. The authors build on existing anesthesia safety practices to outline specific actions for infection prevention and control.
Categorizing human error as a criminal act can deter reporting required to learn from incidents and improve practice. This position statement articulates the importance of avoiding this approach for unintentional perioperative nursing errors to ensure the open communication needed to support the safety of clinicians, organizations, and patients.
Overexposure to clinical alarms can contribute to burnout, errors of omission, and staff fatigue. This guideline suggests improvements for both frontline nurses and nursing leaders to enhance the management of electrocardiogram and pulse oximetry monitoring to reduce false alarms and alarm fatigue.
Perioperative medication errors can result in patient harm as well as emotional distress among clinical team members. This guideline summary outlines best practices to ensure surgical teams employ methods to design, implement, and assess medication safety processes and improvements. A related commentary discusses how to integrate the guidelines into frontline care activities.
This guidance statement outlines recommendations from the Association of periOperative Registered Nurses (AORN) for developing, implementing, and evaluating safe medication practices in the perioperative environment.
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