Changing practice to improve patient safety and quality of care in perinatal medicine.

Heather C. Kaplan; Jeanne Ballard

Review

Changing practice to improve patient safety and quality of care in perinatal medicine.

September 7, 2011

Kaplan HC, Ballard J. Am J Perinatol. 2011;29(01).

View more articles from the same authors.

This review details how change strategies can improve safety in perinatal care.

Available at

PubMed citation

Related Resources From the Same Author(s)

Tools and methods for quality improvement and patient safety in perinatal care.

June 14, 2017

Using a network organisational architecture to support the development of Learning Healthcare Systems.

February 21, 2018

High reliability: truly achieving healthcare quality and safety.

April 24, 2013

Economic measurement of medical errors using a hospital claims database.

May 1, 2013

Evaluating safety and competency at the bedside.

August 17, 2011

Sent home to die.

September 16, 2020

Managing risk: systems approach versus personal responsibility for hospital incidents.

April 26, 2006

Evaluation of drug interaction software to identify alerts for transplant medications.

March 6, 2005

The attributes of medical event reporting systems.

March 27, 2005

Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure.

December 21, 2022

In situ simulation: identification of systems issues.

July 10, 2013

Teamwork in obstetric critical care.

September 10, 2008

Journey to no preventable risk: The Baylor Health Care System patient safety experience.

November 3, 2010

Learning from every death.

March 5, 2014

Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature.

May 25, 2016

The effects of emergency department staff rounding on patient safety and satisfaction.

November 12, 2008

Is it time to pull the plug on 12-hour shifts?: Part 3. Harm Reduction Strategies if Keeping 12-Hour Shifts.

September 22, 2010

Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the gap.

July 20, 2011

Suicide in the medical setting.

August 20, 2008

Patient safety and medications in the home.

April 14, 2010

Implementing the Comprehensive Unit-Based Safety Program (CUSP) to improve patient safety in an academic primary care practice.

October 18, 2017

Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.

March 20, 2019

High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool.

March 28, 2018

The use of patient pictures and verification screens to reduce computerized provider order entry errors.

June 13, 2012

Professionalism in the era of duty hours: time for a shift change?

December 12, 2012

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

October 26, 2011

Patient safety in obstetrics: what aviators, firefighters and others can teach us.

July 9, 2008

Effectiveness and cost of a transitional care program for heart failure: a prospective study with concurrent controls.

August 3, 2011

Bearing witness to the ethics of practice: storying physicians' medical mistake narratives.

August 18, 2010

A cycle of redemption in a medical error disclosure and apology program.

June 11, 2014

Impact of workplace mistreatment on patient safety risk and nurse-assessed patient outcomes.

July 9, 2014

Hospital image repair strategies, organizational apology, and medical errors: an analysis of the CoxHealth brain over-radiation case.

September 18, 2019

Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland.

March 28, 2007

Classification of adverse events occurring in a surgical intensive care unit.

September 5, 2007

Prospective study of the multisite spread of a medication safety intervention: factors common to hospitals with improved outcomes.

February 7, 2024

Value of the pharmacist in the medication reconciliation process.

May 4, 2016

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

February 1, 2012

Battling alarm fatigue in the pediatric intensive care unit.

October 11, 2023

Iatrogenic harm caused by diagnostic errors in fibrodysplasia ossificans progressiva.

November 23, 2005

Association of nurse workload with missed nursing care in the neonatal intensive care unit.

November 21, 2018

Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study.

May 9, 2018

Risk factors for i.v. compounding errors when using an automated workflow management system.

July 27, 2016

Physicians' attitudes towards copy and pasting in electronic note writing.

November 26, 2008

Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.

April 5, 2006

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

June 14, 2006

Safety events in pediatric out-of-hospital cardiac arrest.

September 13, 2017

University of Michigan: quality and safety in an academic medical center.

November 5, 2008

Managing the prevention of retained surgical instruments: what is the value of counting?

January 9, 2008

Individual and team-based medical error disclosure: dialectical tensions among health care providers.

August 28, 2019

Exploring approaches to patient safety: the case of spinal manipulation therapy.

July 27, 2016

Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department.

December 16, 2015

Making care better in the pediatric intensive care unit.

January 30, 2019

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.

July 17, 2019

Deploying and measuring a risk and patient safety program.

February 1, 2017

A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.

August 27, 2014

Designing a critical care nurse–led rapid response team using only available resources: 6 years later.

July 9, 2014

Narrativizing nursing students' experiences with medical errors during clinicals.

December 2, 2015

Managing safety in perioperative settings: strategies of meso-level nurse leaders.

March 15, 2023

Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate.

June 25, 2008

Safety concerns of hospital-based new-to-practice registered nurses and their preceptors.

June 23, 2010

Emergency medical services provider pediatric adverse event rate varies by call origin pediatric emergency care.

August 3, 2016

Homecare safety virtual quality improvement collaboratives

February 26, 2020

How long and how much are nurses now working?

April 19, 2006

Clinical clerkship students' perceptions of (un)safe transitions for every patient.

May 14, 2014

Staff attitudes about event reporting and patient safety culture in hospital transfusion services.

June 11, 2008

Sensemaking of patient safety risks and hazards.

July 12, 2006

Attending physician remote access of the electronic health record and implications for resident supervision: a mixed methods study.

February 14, 2018

Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events.

August 1, 2018

Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement.

February 1, 2012

Factors associated with workplace violence among healthcare workers in an academic medical center.

April 27, 2022

Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis.

July 20, 2022

A demonstration project on the impact of safety culture on infection control practices in hemodialysis

October 9, 2019

Risk reduction strategy to decrease incidence of retained surgical items.

August 31, 2022

Types, prevalence, and potential clinical significance of medication administration errors in assisted living.

June 4, 2008

Missing clinical and behavioral health data in a large electronic health record (EHR) system.

May 11, 2016

Implementing peer evaluation of handoffs: associations with experience and workload.

February 27, 2013

Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist.

January 23, 2013

Changes in early high-risk opioid prescribing practices after policy interventions in Washington State.

October 28, 2020

Drawing boundaries: the difficulty in defining clinical reasoning.

August 15, 2018

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

Student-observed surgical safety practices across an urban regional health authority.

July 6, 2011

Determinants of success of quality improvement collaboratives: what does the literature show?

September 12, 2012

Impact of opioid administration in the intensive care unit and subsequent use in opioid-naïve patients.

June 9, 2021

Psychological safety and infection prevention practices: results from a national survey.

February 19, 2020

Misreading injectable medications—causes and solutions: an integrative literature review.

April 29, 2020

Work patterns and fatigue-related risk among junior doctors.

April 18, 2007

Medical harm: patient perceptions and follow-up actions.

December 10, 2014

A human factors curriculum for surgical clerkship students.

January 5, 2011

Overtreatment in the United States.

September 27, 2017

Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.

September 25, 2013

Personalised performance feedback reduces narcotic prescription errors in a NICU.

March 27, 2013

Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members.

December 8, 2021

Using simulation-based training to improve patient safety: what does it take?

July 13, 2005

Patient safety events in out-of-hospital paediatric airway management: a medical record review by the CSI-EMS.

November 23, 2016

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.

August 3, 2016

Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation.

March 9, 2016

A standardized handoff simulation promotes recovery from auditory distractions in resident physicians.

July 11, 2018

Sustaining teamwork behaviors through reinforcement of TeamSTEPPS principles.

November 15, 2017

Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.

March 6, 2005

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

July 29, 2009

Related Resources

Sustained decrease in latent safety threats through regular interprofessional in situ simulation training of neonatal emergencies.

January 17, 2024

Neonatal near-miss audits: a systematic review and a call to action.

January 10, 2024

Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units.

September 6, 2023

Causes for medical errors in obstetrics and gynaecology.

June 28, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Strengthening open disclosure after incidents in maternity care: a realist synthesis of international research evidence.

April 12, 2023

Patient Safety Innovations

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

March 15, 2023

Final Report of the Ockenden Review.

April 27, 2022

Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.

April 13, 2022

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.

February 9, 2022

Adverse events in women giving birth in a labor ward: a retrospective record review study.

November 3, 2021

The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned,

October 27, 2021

The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science.

October 6, 2021

First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.

March 3, 2021

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.

January 20, 2021

Incidence of Adverse Events in Indian Health Service Hospitals.

December 23, 2020

Perspective

Adverse Events in Dentistry

December 22, 2020

Interview

In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD

December 22, 2020

Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States.

August 26, 2020

Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level.

August 26, 2020

Patient Safety Innovations

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area

June 12, 2020

Assuring safe patient care in a level III NICU in anticipation of hospital closure.

June 10, 2020

Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study.

January 29, 2020

Better Safer Care Victoria.

January 29, 2020

Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.

August 21, 2019

A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit.

June 19, 2019

Obstetric practice guidelines: labor's love lost?

June 5, 2019

Better Health for Mothers and Babies.

May 29, 2019

Patient Safety in Obstetrics and Gynecology.

May 29, 2019

See More About The Topic

Health Care Providers

Quality and Safety Professionals

Obstetrics

Neonatology and Intensive Care

Medical Complications

Changing practice to improve patient safety and quality of care in perinatal medicine.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Changing practice to improve patient safety and quality of care in perinatal medicine.

The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis

Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site