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Am J Obstet Gynecol. 2016 Apr;214(4):444-451. doi: 10.1016/j.ajog.2015.10.011. Epub 2015 Oct 23.

Triggers, bundles, protocols, and checklists--what every maternal care provider needs to know.

Author information

1
Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH. Electronic address: Kavita.Shah.Arora@gmail.com.
2
Patient Safety, Dignity Health, San Francisco, CA; Maternal Fetal Medicine, Marian Regional Medical Center, Santa Maria, CA.
3
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University, Feinberg School of Medicine, Chicago, IL.
4
Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, NY.
5
Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH.

Abstract

The rise in maternal morbidity and mortality has resulted in national and international attention at optimally organizing systems and teams for pregnancy care. Given that maternal morbidity and mortality can occur unpredictably in any obstetric setting, specialists in general obstetrics and gynecology along with other primary maternal care providers should be integrally involved in efforts to improve the safety of obstetric care delivery. Quality improvement initiatives remain vital to meeting this goal. The evidence-based utilization of triggers, bundles, protocols, and checklists can aid in timely diagnosis and treatment to prevent or limit the severity of morbidity as well as facilitate interdisciplinary, patient-centered care. The purpose of this document is to summarize the pertinent elements from this forum to assist primary maternal care providers in their utilization and implementation of these safety tools.

KEYWORDS:

obstetric quality; patient safety; quality improvement

PMID:
26478105
DOI:
10.1016/j.ajog.2015.10.011
[Indexed for MEDLINE]

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