79: Perinatal safety initiative to reduce adverse obstetric events

Article Outline

• Objective
• Study Design
• Results
• Conclusion
• Copyright

Back to Article Outline

Objective 

To assess the benefit of a comprehensive perinatal safety initiative to reduce adverse obstetrical outcomes and improve patient safety.

Back to Article Outline

Study Design 

An interventional trial was developed where we incrementally introduced multiple perinatal safety initiatives from August 2007 through July 2009 at a large community medical center. The safety initiative included formalized team training with an emphasis on communication, standardizing EFM terminology with required documentation of competence, introduction of evidence-based protocols and integration of educational programs among all care providers. 11 adverse outcome measures were followed prospectively and the adverse outcome index was analyzed for a trend.

Back to Article Outline

Results 

At the beginning of the safety initiative the adverse outcome index, defined as the number of deliveries with one or more adverse outcomes as a proportion of total deliveries, was approximately 2%. Within the first year, the AOI had decreased to 0.6 percent and has been maintained throughout year two (P<0.05). Additionally, employee and patient perceptions of teamwork and safety improved, 28% and 11%, respectively.

Back to Article Outline

Conclusion 

A comprehensive perinatal safety initiative can offer a significant improvement in preventing adverse obstetric outcomes, improving patient safety and enhancing staff and patient experiences.

• 
  • View Large Image
  • Download to PowerPoint

• Adverse Outcome Index