OBJECTIVE: We implemented a comprehensive strategy to track and reduce adverse events. STUDY DESIGN: We incrementally introduced multiple patient safety interventions from September 2004 through November 2006 at a university-based obstetrics service. This initiative included outside expert review, protocol standardization, the creation of a patient safety nurse position and patient safety committee, and training in team skills and fetal heart monitoring interpretation. We prospectively tracked 10 obstetrics-specific outcome. The Adverse Outcome Index, an expression of the number of deliveries with at least 1 of the 10 adverse outcomes per total deliveries, was analyzed for trend. RESULTS: Our interventions significantly reduced the Adverse Outcome Index (linear regression, r(2) = 0.50; P = .01) (overall mean, 2.50%). Concurrent with these improvements, we saw clinically significant improvements in safety climate as measured by validated safety attitude surveys. CONCLUSION: A systematic strategy to decrease obstetric adverse events can have a significant impact on patient safety.
OBJECTIVE: We implemented a comprehensive strategy to track and reduce adverse events. STUDY DESIGN: We incrementally introduced multiple patient safety interventions from September 2004 through November 2006 at a university-based obstetrics service. This initiative included outside expert review, protocol standardization, the creation of a patient safety nurse position and patient safety committee, and training in team skills and fetal heart monitoring interpretation. We prospectively tracked 10 obstetrics-specific outcome. The Adverse Outcome Index, an expression of the number of deliveries with at least 1 of the 10 adverse outcomes per total deliveries, was analyzed for trend. RESULTS: Our interventions significantly reduced the Adverse Outcome Index (linear regression, r(2) = 0.50; P = .01) (overall mean, 2.50%). Concurrent with these improvements, we saw clinically significant improvements in safety climate as measured by validated safety attitude surveys. CONCLUSION: A systematic strategy to decrease obstetric adverse events can have a significant impact on patient safety.
Authors: William Riley; James W Begun; Les Meredith; Kristi K Miller; Kathy Connolly; Rebecca Price; Janet H Muri; Mac McCullough; Stanley Davis Journal: Health Serv Res Date: 2016-11-03 Impact factor: 3.402
Authors: Laura E Sienas; Herman L Hedriana; Suzanne Wiesner; Barbara Pelletreau; Machelle D Wilson; Laurence E Shields Journal: Int J Gynaecol Obstet Date: 2016-11-21 Impact factor: 3.561
Authors: Emma L Barber; Lisbet S Lundsberg; Kathleen Belanger; Christian M Pettker; Edmund F Funai; Jessica L Illuzzi Journal: Obstet Gynecol Date: 2011-07 Impact factor: 7.661
Authors: David G Maxfield; Audrey Lyndon; Holly Powell Kennedy; Daniel F O'Keeffe; Marya G Zlatnik Journal: Am J Obstet Gynecol Date: 2013-07-17 Impact factor: 8.661