Risk management in obstetrics
Maternity incident trigger list
We need to focus on the roots and infrastructural structures then apply pathways for improvement of these two. References Specchia, M. Referring mothers at the onset of life-threatening complications has a great value and increases the use of available hospital services . Different groups of contributory inpatients factors. Trends in Anaesthesia and Critical Care, 4, Our study was approved by the ethic committee of Tehran University Medical of Sciences on Mediterranean Health Journal, 14, Recognition of risk: its potential, frequency and severity is the first step and its elimination is in the second place . In inpatient-outpatient risk management approach, we use the comprehensive patient safety strategy on obstetrics events. Step 2.
It should be prevented. Different Types of errors intended and unintended may occur in recognition, attention, memory and selection during working hours. Risk management is identification, assessment, control, and suggesting some interventions to minimize, or eliminate unacceptable risks .
Safety Science, 48, Sultan et al. Nothing should be missed even based on the infrastructure: a follow up software can help.
Then based on Risk Management Rules in Clinical Governance, the complications analysis was done with use of failure mode and effects analysis: 1 We examine the process in all these complications.
It shows the complexity of this field with a cascade of events leading to severe accidents.
Duncan et al. The results were that the main pitfall of most of these complications arise from poor screening and recognition of high risk patients as well as deficient policies in service provision in all these 5 hospitals Table 2and deducted that addressing common infrastructural problems, will help us in designating the plan of management.
Recommendations related to labor include requiring training on fetal heart rate interpretation and developing a chain of command policy for staff in the OB department.
It is estimated that, at least half of these poor prognostic events could be prevented . Discussion Maternal mortality rate MMR in Iran has declined from in to 21 in comparable with developed countries and we are going to maintain our achievements in Maternal Health. References Specchia, M.
Clinical governance maternity
Results: We understood all reported complications had common infrastructural problems: defects in Risk Assessment and Hospital Management Policies. Results We found that the most prevalent complications in these hospitals were post partum haemorrhage, labor management problems, and neonatal hypothermia. Then the delegates from each hospital were asked to report the most common obstetrical complications of their hospitals. Finally based on Risk Management Rules in Clinical Governance, the complications analysis was done with use of failure mode, effects analysis and practical strategies to decline obstetrical adverse events were suggested. Conclusion: Since managerial and staff dependent problems were our main problems, these two should be considered as our main priorities in risk management program. Our accumulated data gathering from 5 hospitals showed that the post partum haemorrhage, labor management problems, and neonatal hypothermia were the most prevalent complications. It shows the complexity of this field with a cascade of events leading to severe accidents. The main results were 24 complications.
based on 28 review