Organizational strategies to optimize women’s safety during labor and birth: A scoping review

McCormick, Margaret; Pollock, Wendy; Kapp, Suzanne; Gerdtz, Marie

doi:10.1111/birt.12570

Cited by 5 publications

(3 citation statements)

References 78 publications

(268 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The safety of obstetric care is often studied from the perspective of obstetric organizations 4 and healthcare providers. 5 , 6 Adverse events and near misses can be reported to an organization's incident reporting system, but this reporting is voluntary and does not cover all cases.…”

Section: Introductionmentioning

confidence: 99%

Obstetric claims in Finland 2012–2022—A nationwide patient insurance registry study

Lojander,

Welling,

Axelin

et al. 2024

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

IntroductionMaternal and infant mortality rates in Finland are among the lowest in the world, yet preventable obstetric injuries occur every year. The aim of this study was to describe obstetric claims, their compensation rates, and temporal trends of claims reported to the Patient Insurance Centre.Material and MethodsA nationwide, register‐based study was conducted. Data consisted of obstetric claims reported to the Patient Insurance Centre between 2012 and 2022. Data analyzed included the year of injury, compensation criteria, maternal age, birth hospital, delivery method, reported causes of injury, and maternal or neonatal injury. The data were analyzed with descriptive statistics and logistic regression models.ResultsA total of n = 849 obstetric claims were filed during the study period, of which n = 224 (26.4%) received compensation. The rate of claims was 0.15%, and the rate of compensation was 0.04% in relation to the total volume of births during the period. Substandard care was the most common (97.3%) criterion for compensation. There was a curvilinear increase in the claims rate and a linear increase in compensation rates from 2013 to 2019. More claims were filed and compensated for cesarean and vacuum‐assisted deliveries than for unassisted vaginal deliveries. Delayed delivery (18.7%) and surgical technique failure (10.9%) were the most reported causes of injuries. Retained surgical bodies were the induced cause of injury with the highest rate of compensated claims (86.7%). The most common maternal injury was infection (17.9%) and pain (11.7%). Among neonatal injuries, severe (19.2%) and mild asphyxia (16.6%) were the most frequent. Burn injuries (93.3%) and fetal or neonatal death (60.5%) had the highest rate of compensated claims.ConclusionsThe study provided new information on substandard care and injuries in obstetric care in Finland. An increasing trend in claims and compensation rates was found. Identifying contributors to substandard care that lead to fetal asphyxia is important for improving obstetric safety. Further analysis of the association of claims and compensation rates with operative deliveries is needed to determine their causality. Frequent review of obstetric claims would be useful in providing more recent data on substandard care and preventable injuries.

show abstract

Section: Introductionmentioning

confidence: 99%

Obstetric claims in Finland 2012–2022—A nationwide patient insurance registry study

Lojander,

Welling,

Axelin

et al. 2024

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

“…A segurança é uma prioridade para as organizações que fornecem cuidados de saúde, no entanto os danos e erros evitáveis, permanecem nas maternidades. Desta forma, tornou-se imprescindível a adoção de diversas estratégias organizacionais que podem ser implementadas para melhorar a segurança das mulheres durante o trabalho de parto e no pós-parto (MCCORMICK et al, 2013).…”

Section: Introductionunclassified

Segurança Do Doente: Parto Seguro

Teixeira,

Bessa,

Ferrão

et al. 2023

Evolução E Tendências Dos Cuidados De Saúde Materna E Obstétrica

View full text Add to dashboard Cite

Editora Direitos para esta edição cedidos à Atena Editora pelos autores. Open access publication by Atena Editora Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterála de nenhuma forma ou utilizá-la para fins comerciais.Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

show abstract

“…In order to promote women’s and newborns’ safety, several strategies are implemented globally [ 16 ]. Of these, studies indicate that communication interventions in obstetrics may contribute to reducing pAEs [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

The Impact of a Communication Training on the Birth Experience: Qualitative Interviews with Mothers after Giving Birth at Obstetric University Departments in Germany

Schmiedhofer

Dietl

Haeussler³

et al. 2022

IJERPH

View full text Add to dashboard Cite

(1) Background: Patient safety is a pressing issue in healthcare. Besides economical and organizational issues, human factors play a crucial role in providing safe care. Safe and clear communication on both the healthcare workers’ and patients’ sides contribute to the avoidance of medical errors and increase patients’ and healthcare workers’ satisfaction. Globally, the incidence of experiencing at least one adverse event in obstetrics is about 10%, of which half are classified as preventable. According to international research, improving communication skills may decrease preventable adverse events. The research question was to what extent communication training for pregnant women impacts the quality of communication and mutual understanding during birth. (2) Methods: Communication interventions with pregnant women were conducted in two German university obstetric departments in a mixed methods research design, based on the Health Action Process Approach. The online classes covered the awareness of personal wishes, the understanding and usage of communication strategies, self-efficacy and empathy. This study presents the qualitative results. Out of 142 mothers who answered two questionnaires before the communication training and after the birth, 24 in-depth semistructured interviews were conducted to explore the subjective impact of the communication training. The results were analyzed with qualitative content analysis. (3) Results: The majority of participants felt incentivized to be aware of their personal wishes for birth and to express them. Perceived positive experiences with sufficient competency in communication, empathy and mutual understanding outweighed negative treatments and experiences in the hospital, some of which could be attributed to structural problems. (4) Discussion: The reported positive effects of the communication training underline the need but also the potential for communication lessons to reflect and improve communication skills in obstetrics. However, negative experiences due to structural problems in the healthcare system may be facilitated by communication skills but not solved.

show abstract

Organizational strategies to optimize women’s safety during labor and birth: A scoping review

Cited by 5 publications

References 78 publications

Obstetric claims in Finland 2012–2022—A nationwide patient insurance registry study

Obstetric claims in Finland 2012–2022—A nationwide patient insurance registry study

Segurança Do Doente: Parto Seguro

The Impact of a Communication Training on the Birth Experience: Qualitative Interviews with Mothers after Giving Birth at Obstetric University Departments in Germany

Contact Info

Product

Resources

About