Narrow Results Clear All
- Communication Improvement 8
- Culture of Safety 1
- Education and Training 6
- Error Reporting and Analysis 8
- Human Factors Engineering 1
- Legal and Policy Approaches 5
- Logistical Approaches 1
- Policies and Operations 1
- Quality Improvement Strategies 7
- Teamwork 3
- Technologic Approaches 3
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 3
- Identification Errors 2
- Medication Errors/Preventable Adverse Drug Events 6
- Nonsurgical Procedural Complications 6
- Psychological and Social Complications 2
- Surgical Complications 5
- Family Members and Caregivers 1
- Health Care Executives and Administrators 12
Health Care Providers
- Nurses 3
Non-Health Care Professionals
- Media 1
- Patients 15
Search results for "Obstetrics"
ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019.
Newborns assigned temporary names are at increased risk for patient misidentification and wrong-patient errors. This newsletter article reports on the role of electronic health records in newborn misidentification and the unintended consequences associated with a Joint Commission set of recommendations to reduce risk.
Clark C. HealthLeaders Media. September 13, 2013.
This news piece highlights concern around the safety of elective premature deliveries and describes techniques organizations have used to prevent such procedures.
Oakeshott I. The Sunday Times. June 18, 2006.
This article reports on incidents of wrong drug and wrong route administration of epidurals in the United Kingdom's National Health Service.
CDC Vital Signs. May 7, 2019.
Maternal morbidity and mortality is a worldwide patient safety problem. This analysis describes the prevalence of pregnancy-related death and areas of concern during pregnancy, at delivery, and up to a year postpartum. It reports that 60% of these deaths are preventable and provides suggestions for families, clinicians, and systems to reduce risks.
Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.
ISMP Medication Safety Alert! Acute Care Edition. October 4, 2018;23:1-4.
Increased urgency to prevent maternal mortality has uncovered various factors that diminish safety. This newsletter article reports on incidents involving the accidental misuse of epidural analgesia and intravenous antibiotics in labor and delivery care, describes contributing factors (e.g., health technology missteps, barcoding mistakes, and look-alike medications), and offers improvement strategies to mitigate harm.
Young A, Kelly J, Schnaars C, Ungar L. USA Today.
Montagne R. Weekend Edition Sunday. National Public Radio. March 11, 2018.
Maternal death is a sentinel event. This news audio segment reports on childbirth-related death in the United States and firsthand accounts of complications associated with childbirth, such as infection. The interview also discusses how misdiagnosis contributes to the severity of problems. This piece is part of an ongoing series on the safety of maternal care.
New York, NY: ProPublica, Inc; 2017-2018.
Kowalczyk L. Boston Globe. July 29, 2017.
Martin N, Montagne R. ProPublica and National Public Radio. May 12, 2017.
Maternal mortality is increasing in the United States. This news article reports on this critical safety problem in the context of the preventable death of a patient whose diagnosis of preeclampsia was missed by her providers, despite persistent concerns raised by family about the patient's symptoms.
Veltman L. Patient Saf Qual Healthc. January/February 2015;12:34-36.
The Joint Commission and the American College of Obstetricians and Gynecologists have issued guidance regarding disruptive behaviors among clinicians. This magazine article provides an overview of incivility or disrespectful behavior in health care, how it can affect patient safety, and strategies to prevent such behaviors in the obstetrics and gynecology setting.
Landro L. Wall Street Journal. March 28, 2011.
This newspaper article discusses how combining best practices in teamwork, simulation, and communication can improve patient safety during obstetric emergencies.
Westfall SS, Mascia K. People. October 5, 2009;72:155.
This story discusses an instance of mistakenly implanted embryos and the impact of the error on the two families involved.
Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances.
Patel A. ABCnews.com. August 21, 2009.
This news piece describes two look alike/sound alike medication errors in which pregnant women were given the wrong drug.
Landro L. Wall Street Journal. February 18, 2009:D1.
This newspaper article discusses increasing concerns over potential burn injuries in the hospital setting and reports on efforts to raise awareness of the dangers and promote preventative measures.
O'Reilly KB. American Medical News. June 16, 2008;15:17.
This article reports on an initiative to prevent birth injuries through improved communication techniques and evidence-based care interventions.
Barbella M. Drug Topics. October 8, 2007;151:18.
This article reports how a failure to perform medication reconciliation during patient transfer led to a mother being separated from her newborn daughter for several months.
Kowalczyk L. Boston Globe. March 29, 2007:4B.
This article reports on an award recognizing Beth Israel Deaconess Hospital for its approach to improving patient safety in response to the death of an infant in 2000.
Vesely R. Inside Bay Area. December 28, 2006.
This article describes a variety of quality and safety problems in the labor and delivery ward at a large public hospital.
Brandeland GP. Med Econ. 2006 Oct 20;83:50, 52-53.
This author shares his experience as a young physician dealing with the aftermath of a medical error and how the incident affected his practice, his personal relationships, and the patient's family.