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- Communication Improvement 3
- Culture of Safety 1
- Education and Training 4
- Error Reporting and Analysis 1
- Quality Improvement Strategies 4
- Specialization of Care 1
- Teamwork 2
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Cases & Commentaries
- Web M&M
Jackie Thomas, MD; Mary Hannah, MD; April 2003
Incorrect dating criteria in a woman late entering prenatal care nearly leads to induction of a pre-term infant.
Cases & Commentaries
- Web M&M
Mitch Rodriguez, MD, MBA; Rebecca Mannel, BS, IBCLC; Donna Frye, RN, MN; September 2008
After several pediatric visits, parents of a newborn with low output and weight loss contact a lactation consultant, who discovered that ankyloglossia (tongue-tie) was preventing the infant from receiving adequate intake from breastfeeding.
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.
This report discusses efforts to enhance safety in obstetrics care and provides recommendations to improve clinical and system processes.
Journal Article > Commentary
Slomski A. JAMA. 2019;321:1239-1241.
Maternal mortality is a sentinel event that affects mothers and families across a wide range of socioeconomic characteristics. This commentary explores how data collection gaps, medical errors, ineffective treatments, and care coordination weaknesses contribute to preventable maternal death. The author highlights efforts to improve safety in maternity care such as best practice bundles to ensure teams and clinicians are prepared for certain complications.
Journal Article > Study
Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study.
Romijn A, Ravelli ACJ, de Bruijne MC, et al. BJOG. 2019;126:907-914.
This cluster-randomized trial examined whether a team training intervention would improve perinatal and maternal outcomes for singleton births without congenital abnormalities, on or after 32 weeks gestation. Researchers found no significant change in incidence of adverse outcomes, suggesting that simulation-based training alone is not sufficient to optimize perinatal safety.
Special or Theme Issue
Gluck PA, ed. Obstet Gynecol Clin North Am. 2019;46:H1-H8, 199-398.
Obstetrics is a high-risk practice that concurrently manages the safety of mothers and newborns. Articles in this special issue explore various facets of health care quality and safety improvement in the care of women and expectant mothers. Topics covered include the patient experience, safety culture, disparities, program implementation, and clinical trends.
Livingston E, Howell EA. JAMA Clinical Reviews. April 2, 2019.
Maternal mortality in the United States is gaining increased attention as a patient safety concern. This podcast discusses conditions known to challenge maternal safety, the high incidence of preventable harm in this population, and care bundles as an improvement strategy. A recent Annual Perspective summarized national initiatives to improve safety in maternity care.