Impact of a comprehensive patient safety strategy on obstetric adverse events.
Am J Obstet Gynecol
; 200(5): 492.e1-8, 2009 May.
Article
em En
| MEDLINE
| ID: mdl-19249729
ABSTRACT
OBJECTIVE:
We implemented a comprehensive strategy to track and reduce adverse events. STUDYDESIGN:
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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Gestão de Riscos
/
Unidade Hospitalar de Ginecologia e Obstetrícia
/
Gestão da Segurança
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
/
Guideline
Limite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Am J Obstet Gynecol
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Estados Unidos