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Search results for "Psychological and Social Complications"
- Obstetrical Nursing
- Psychological and Social Complications
Perspectives on Safety > Annual Perspective
with commentary by Audrey Lyndon, RN, PhD, 2018
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.
Journal Article > Commentary
Schrøder K, Lamont RF, Jørgensen JS, Hvidt NC. BJOG. 2019;126:440-442.
Medical errors can have emotional consequences for clinicians. This commentary emphasizes the importance of organizational support for second victims to ensure that these providers receive assistance from their colleagues to remain healthy and productive. The authors suggest that peer support programs are also required in organizations with blame-free cultures to support providers who feel guilt after an error.
Journal Article > Study
Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.
Silence and poor communication are known threats to patient safety. Despite efforts to promote teamwork and develop shared tools for communication, there are persistent gaps between nurse and physician practices. This study surveyed nurses and physicians working in labor and delivery units and discovered significant differences in their perceptions of patient harm associated with various clinical scenarios. These differences in patient harm ratings were the greatest predictor of speaking up, suggesting that differences in clinical assessment may serve as a useful target for intervention. The authors discuss the negative impact of environments where mental models are not shared, conflict is poorly managed, and disruptive behaviors stifle open communication. A past AHRQ WebM&M commentary discussed a case of "silence" when members of the operating room team were reluctant to speak up to a senior surgeon.