Patient Safety Alert 9: Patient Safety in Labor and Delivery: Managing Complex Conditions in a Complex Environment (PDF)
The AMC PSO in conjunction with CRICO’s Patient Safety Department has continued to analyze OB-related malpractice claims along with real-time root cause analysis information to identify trends, respond to present system vulnerabilities, and educate members on new emerging risks.
Issues related to management of second stage labor predominate and are addressed below:
- Human Factor Issues: Failure to accurately assess and document maternal-fetal status including: cervical dilation, effacement and membrane status, and fetal heart rate pattern
More AMC PSO Content
Publications such as whitepapers and guidelines derived from the AMC PSO convenings.
Patient ID Risks & the Intersection of Electronic Health Records
Patient Safety Alert Issue 28: The AMC PSO recently convened a multidisciplinary group of stakeholders across its membership to review and discuss strategies for safer patient identification.
Medication Administration in the Ambulatory Setting
Patient Safety Alert Issue 26: The AMC PSO convened a panel of nursing leaders to review risks in the medication delivery processes in the ambulatory setting and discuss potential interventions aimed at mitigating the risks associated with medication administration.
Patient & Visitor De-escalation
Patient Safety Alert Issue 25: The AMC PSO convened a panel of safety leaders to review recent trends and discuss novel interventions to mitigate the risk for hospital workplace violence, especially from patients and visitors.
Electronic Health Record Risks in the Emergency Department
Patient Safety Alert Issue 27: The AMC PSO convened a panel of Emergency Medicine thought leaders to identify significant areas of concern and to explore potential mitigation strategies for use of electronic health record risks in the Emergency Department
Establishing a Regional Registry for Neonatal Encephalopathy: Impact on Identiﬁcation of Gaps in Practice
Neonatal encephalopathy continues to be a signiﬁcant risk for death and disability. To address this risk, regional guidelines were developed with the support of CRICO. A neonatal encephalopathy registry was also established. The aim of this study was to identify areas of variation in practice that could beneﬁt from quality improvement projects.
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