Sentinel Event Alert 58: Inadequate hand-off communication. 2017.
Maternal Transport Briefing Form and Checklist
A checklist for checklists.
Suggestions for Implementation
Follow-up and Quality Indicators
- 1.A detailed review of any case involving delivery en route, delivery within 15 minutes after arrival, or deterioration of maternal condition requiring diversion to another facility (sentinel events)
- 2.A formal periodic review of maternal transports for each referring institution, including frequency of any requested transfers that were declined and reasons for declining
- 3.Standard clinical management guidelines for the most common indications for maternal transport (eg, PTL, PPROM, hypertensive disorders) developed by the receiving hospital and shared with all the referring hospitals in the region
- 4.Tracking of measures of the efficiency of transport (eg, time from initial transport request to arrival at receiving hospital, time from initial request to formal acceptance of transfer) and appropriateness of transport
- 5.A specified process to update referring physicians and prenatal care professionals on the outcome or condition of the patient who was transported
- Development of regionalized perinatal care.Semin Neonatol. 2004; 9: 89-97
- Guidelines for perinatal care.7th ed. American College of Obstetricians and Gynecologists, Washington, DC2013
- Levels of neonatal care.Pediatrics. 2012; 130: 587-597
- Obstetric care consensus #9: Levels of maternal care.Am J Obstet Gynecol. 2019; 221: B19-B30
Examination and treatment for emergency medical conditions and women in labor, 42 USC 1395dd (1986).
- Sentinel Event Alert 58: Inadequate hand-off communication. 2017.(Available at:)https://www.jointcommission.org/en/resources/patient-safety-topics/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-58-inadequate-hand-off-communicationDate accessed: September 24, 2020
- The development and implementation of checklists in obstetrics.Am J Obstet Gynecol. 2017; 217: B2-B6
- Changes in medical errors after implementation of a handoff program.N Engl J Med. 2014; 371: 1803-1812
- A checklist for checklists.(Available at:)https://www.ariadnelabs.org/wp-content/uploads/sites/2/2019/10/checklist_for_checklists_final_10.3-1-1.pdfDate: 2010Date accessed: September 24, 2020
All authors and Committee members have filed a conflict of interest disclosure delineating personal, professional, and/or business interests that might be perceived as a real or potential conflict of interest in relation to this publication. All conflicts have been resolved through a process approved by the Executive Board. The Society for Maternal-Fetal Medicine (SMFM) has neither solicited nor accepted any commercial involvement in the development of the content of this publication.
This document has undergone an internal peer review through a multilevel committee process within SMFM. This review involves critique and feedback from the SMFM Patient Safety and Quality and Document Review Committees and final approval by the SMFM Executive Committee. SMFM accepts sole responsibility for document content. SMFM publications do not undergo editorial and peer review by the American Journal of Obstetrics & Gynecology. Publications are reviewed 36 to 48 months and updates are issued as needed. Further details regarding SMFM publications can be found at www.smfm.org/publications.