2.50
Hdl Handle:
http://hdl.handle.net/10755/182439
Category:
Abstract
Type:
Presentation
Title:
Improving Perinatal Outcomes
Author(s):
Cochrane, Cindy
Author Details:
Cindy Cochrane, MS, RNC-OB, WHNP-BC, Texas Health Harris Methodist Hospital Fort Worth, Fort Worth, Texas, USA, email: cindycochrane@texashealth.org
Abstract:
Evidence has shown that poor perinatal outcomes have been associated with miscommunication by healthcare workers, inadequate assessment resulting in failure to rescue, mismanagement of uterotonic medications and vacuum assisted deliveries. Our institution has joined a national workgroup to address these issues and formed an interdisciplinary team of obstetric nurses and physicians to lead in this perinatal safety initiative. Methods utilized by the team to improve safety include: 1) Care bundles consisting of specific evidence based interventions developed by the Institute for Healthcare Improvement for augmentation and induction of labor; 2) continued education for physician and nurses in fetal monitor interpretation 3) improving team communication by emergency simulation drills using a Mama Noelle manikin, and use of SBARR reporting. As an ongoing process all clinical staff received education on care bundles, with the goal of 100% compliance. The Augmentation Bundle includes: Recognition/management of tachysystole throughout labor, Documentation of pelvic exam, a normal FHR, and EFW prior to oxytocin administration. The Induction Bundle includes all the above except EFW and includes: Documentation of gestational age less than or equal to 39 weeks. Initial baseline data at 12 weeks reported 0% median compliance for the Augmentation Bundle and 50% compliance for the Elective Induction bundle. After education was completed for all clinical staff, compliance rates rose. At 31 weeks, compliance increased to 33% median compliance for the Augmentation Bundle and 67% median compliance for the Induction Bundle. Based on the continuing success of the care bundles through increased compliance, work has begun to implement a bundle for vacuum assisted deliveries. References: Cherouny PH, Federico FA, Haraden C, Leavitt Gullo S, Resar R. Idealized Design of Perinatal Care. IHI Innovation Series white paper. Cambrige Massachusetts: Institution for Healthcare Improvement; 2005.; Miller, Kristi K., William Riley, Stanley Davis, and Ellen E. Hanson. In Situ Simulation a method of experimental learning to promote safety and team behavior. Journal of Perinatal and Neonatal Nursing. 2008; 22(2): 105-113.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImproving Perinatal Outcomesen_GB
dc.contributor.authorCochrane, Cindyen_US
dc.author.detailsCindy Cochrane, MS, RNC-OB, WHNP-BC, Texas Health Harris Methodist Hospital Fort Worth, Fort Worth, Texas, USA, email: cindycochrane@texashealth.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182439-
dc.description.abstractEvidence has shown that poor perinatal outcomes have been associated with miscommunication by healthcare workers, inadequate assessment resulting in failure to rescue, mismanagement of uterotonic medications and vacuum assisted deliveries. Our institution has joined a national workgroup to address these issues and formed an interdisciplinary team of obstetric nurses and physicians to lead in this perinatal safety initiative. Methods utilized by the team to improve safety include: 1) Care bundles consisting of specific evidence based interventions developed by the Institute for Healthcare Improvement for augmentation and induction of labor; 2) continued education for physician and nurses in fetal monitor interpretation 3) improving team communication by emergency simulation drills using a Mama Noelle manikin, and use of SBARR reporting. As an ongoing process all clinical staff received education on care bundles, with the goal of 100% compliance. The Augmentation Bundle includes: Recognition/management of tachysystole throughout labor, Documentation of pelvic exam, a normal FHR, and EFW prior to oxytocin administration. The Induction Bundle includes all the above except EFW and includes: Documentation of gestational age less than or equal to 39 weeks. Initial baseline data at 12 weeks reported 0% median compliance for the Augmentation Bundle and 50% compliance for the Elective Induction bundle. After education was completed for all clinical staff, compliance rates rose. At 31 weeks, compliance increased to 33% median compliance for the Augmentation Bundle and 67% median compliance for the Induction Bundle. Based on the continuing success of the care bundles through increased compliance, work has begun to implement a bundle for vacuum assisted deliveries. References: Cherouny PH, Federico FA, Haraden C, Leavitt Gullo S, Resar R. Idealized Design of Perinatal Care. IHI Innovation Series white paper. Cambrige Massachusetts: Institution for Healthcare Improvement; 2005.; Miller, Kristi K., William Riley, Stanley Davis, and Ellen E. Hanson. In Situ Simulation a method of experimental learning to promote safety and team behavior. Journal of Perinatal and Neonatal Nursing. 2008; 22(2): 105-113.en_GB
dc.date.available2011-10-28T15:24:16Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:24:16Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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