Noting that communication failure is the second leading root cause factor in maternal sentinel events, CRICO’s Comparative Benchmarking System Analysis from 2013, is highlighted. The authors conclude, “A culture of safety must be promoted at all levels of a health care organization. ... Everyone’s commitment is needed, and implementation of the tools described in this article has the potential to enhance communication and patient safety.”
Citation for the Full-text ArticleBrennan RA, Keohane CA. How communication among members of the health care team affects maternal morbidity and mortality. J Obstet Gynecol Neonatal Nurs. 2016 Nov - Dec;45(6):878-884. doi: 10.1016/j.jogn.2016.03.142. Epub 2016 Sep 16.