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Patient involvement in Perinatal Team Communication

Enora Le Roux, Serge Gottot, Camille Aupiais, Thomas Girard, Maria Teixeira, Corinne Alberti
BACKGROUND: Increasing numbers of young people with perinatally acquired HIV are surviving to adulthood. When they come of age, they leave pediatric services in which they were followed and have to be transferred to the adult health care system. Difficulties in adaptation to adult care and the numbers of young people lost to follow up after transfer to adult care have been reported. This transition phase and their retention in adult care are crucial in maintaining the clinical status of these young with HIV in adulthood...
2017: PloS One
Anita Romijn, Martine C de Bruijne, Pim W Teunissen, Christianne J M de Groot, Cordula Wagner
INTRODUCTION: In obstetrics, patients often experience referral situations between different care professionals. In these multidisciplinary teams, a focus on communication and interprofessional collaboration is needed to ensure care of high quality. Crew resource management team training is increasingly being applied in healthcare settings to improve team performance and coordination. Efforts to improve communication also include tools for standardisation such as SBAR (situation, background, assessment, recommendation)...
July 14, 2016: BMJ Open
Shad Deering, Lindsay C Johnston, Kathryn Colacchio
Every delivery is a multidisciplinary event, involving nursing, obstetricians, anesthesiologists, and pediatricians. Patients are often in labor across multiple provider shifts, necessitating numerous handoffs between teams. Each handoff provides an opportunity for errors. Although a traditional approach to improving patient outcomes has been to address individual knowledge and skills, it is now recognized that a significant number of complications result from team, rather than individual, failures. In 2004, a Sentinel Alert issued by the Joint Commission revealed that most cases of perinatal death and injury are caused by problems with an organization's culture and communication failures...
April 2011: Seminars in Perinatology
Larry Veltman, Kristine Larison
A revised nomenclature regarding electronic fetal heart rate monitoring was accepted at a National Institute of Child Health and Human Development consensus conference in 2008. At the heart of patient safety are communication strategies that enhance teamwork and collaboration between health care professionals. Communications is a complex 2-way process that involves more than transfer of factual information. P.U.R.E. (purposeful, unambiguous, respectful, and effective) Conversations in Obstetrics is an acronym that helps facilitate this communication process in perinatal care...
November 2010: American Journal of Obstetrics and Gynecology
Dawn E Collins
In recent years, reports of the increasing number of preventable medical errors have stimulated the healthcare delivery system to develop and implement programs to improve patient safety. Many of these medical errors become the impetus for malpractice lawsuits brought against healthcare givers. In light of the large number of cases that involve electronic fetal monitoring issues, this article reviews many of the claims involved in those malpractice cases and some of the pitfalls encountered in defense of those claims...
April 2008: Journal of Perinatal & Neonatal Nursing
Kristi K Miller, William Riley, Stanley Davis, Helen E Hansen
The healthcare system has an inconsistent record of ensuring patient safety. One of the main factors contributing to this poor record is inadequate interdisciplinary team behavior. This article describes in situ simulation and its 4 components--briefing, simulation, debriefing, and follow-up-as an effective interdisciplinary team training strategy to improve perinatal safety. The purpose of this manuscript is to describe the experiential nature of in situ simulation for the participants. Involved in a pilot study of 35 simulations in 6 hospitals with over 700 participants called, "In Situ Simulation for Obstetric and Neonatal Emergencies," conducted by Fairview Health Services in collaboration with the University of Minnesota's Academic Health Center...
April 2008: Journal of Perinatal & Neonatal Nursing
Alison L Kent, Anne Casey, Kei Lui et al.
A multidisciplinary workshop with parent/consumer involvement was held to determine a consensus in the difficult arena of perinatal care of women and babies at the borderlines of viability. Interactive forums produced consensus statements following an extensive consultation process. A grey zone between 23(0) and 25(6) weeks of gestation was identified and agreed upon. In this grey zone, while there was an increasing obligation to treat, it was acceptable not to initiate intensive care following appropriate counselling with parents...
June 2007: Journal of Paediatrics and Child Health
Karen T Harris, Catharine M Treanor, Mary L Salisbury
The health care environment presents significant risk of errors leading to patient injury and harm. One method to promote patient safety involves improving team coordination. The MedTeams training program, a nationally funded research project, provided the framework for team training in several labor and delivery units in the United States. Many challenges were confronted when team training was implemented. Based on these experiences, specific strategies to ensure the success of team training are discussed.
July 2006: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
A S Wheeler, B A Harris
Women with severe pregnancy-induced hypertension are often critically ill; their fetuses are usually compromised. An ideal anesthetic method does not exist for the parturient with severe hypertension, hypovolemia, and organ failure. Optimal anesthetic results depend upon thorough preanesthetic evaluation and best medical control of pathophysiology, regardless of the technique employed for vaginal or cesarean delivery. The anesthesia team must be consulted early, communicate freely and effectively with other perinatal team members, and have extensive knowledge of the pathophysiology involved...
February 1982: Clinics in Perinatology
F H Boehm, M F Haire
Transporting the high-risk pregnant woman to a tertiary center prior to labor or delivery, in an attempt to offer more intensive care to the patient and her infant, has gained increasing support from medical communities over the past few years. Because of this concept, tertiary centers need to be actively involved in the organization of these transport systems and to be certain that all members of the perinatal team at the referring as well as the receiving center are kept informed of events. This paper describes how Vanderbilt University Hospital initiated an acitive one-way maternal transport system and how that system is maintained and reviews the first 176 patients treated under that system...
June 15, 1979: American Journal of Obstetrics and Gynecology
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