In this section :
- Hospital harm is everyone’s concern
-
Hospital Harm Improvement Resource
- How to Use the Hospital Harm Measure for Improvement
- Learning from Harm
- General Patient Safety Quality Improvement and Measurement Resources
- Hypoglycemia: Introduction
- Aspiration Pneumonia: Introduction
- Delirium: Introduction
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Infusion, Transfusion and Injection Complications: Introduction
- Infusion, Transfusion and Injection Complications: Discharge Abstract Database
- Infusion, Transfusion and Injection Complications: Importance to Patients and Families
- Infusion, Transfusion and Injection Complications: Clinical and System Reviews, Incident Analyses
- Infusion, Transfusion and Injection Complications: Measures
- Infusion, Transfusion and Injection Complications: Success Stories
- Infusion, Transfusion and Injection Complications: References
- Medication Incidents: Introduction
- Obstetric Hemorrhage: Introduction
- Patient Trauma: Introduction
- Pneumonia: Introduction
- Pneumothorax: Introduction
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Post Procedural Infections: Introduction
- Post Procedural Infections: Discharge Abstract Database
- Post Procedural Infections: Importance to Patients and Families
- Post Procedural Infections: Clinical and Systems Reviews, Incident Analyses
- Post Procedural Infections: Measures
- Post Procedural Infections: Success Stories
- Post Procedural Infections: References
- Pressure Ulcer: Introduction
- Sepsis: Introduction
- UTI: Introduction
- Venous Thromboembolism: Introduction
- Wound Disruption: Introduction
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Obstetric Trauma: Introduction
- Obstetric Trauma: Discharge Abstract Database
- Obstetric Trauma: Importance to Patients and Families
- Obstetric Trauma: Clinical and System Reviews, Incident Analyses
- Obstetric Trauma: Measures
- Obstetric Trauma: Success Stories
- Obstetric Trauma: References
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Procedure-Associated Shock: Introduction
- Procedure-Associated Shock: Discharge Abstract Database
- Procedure-Associated Shock: Importance to Patients and Families
- Procedure-Associated Shock: Clinical and System Review, Incident Analysis
- Procedure-Associated Shock: Measures
- Procedure-Associated Shock: Success Stories
- Procedure-Associated Shock: References
- Selected Serious Events: Introduction
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Electrolyte and Fluid Imbalance: Introduction
- Electrolyte and Fluid Imbalance: Discharge Abstract Database
- Electrolyte and Fluid Imbalance: Importance to Patients and Families
- Electrolyte and Fluid Imbalance: Clinical and System Reviews, Incident Analyses
- Electrolyte and Fluid Imbalance: Measures
- Electrolyte and Fluid Imbalance: Success Stories
- Electrolyte and Fluid Imbalance: References
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Anemia – Hemorrhage (Health Care / Medication Associated Condition): Introduction
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Discharge Abstract Database
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Importance to Patients and Families
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Clinical and System Reviews, Incident Analyses
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Measures
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): Success Stories
- Anemia – Hemorrhage (Health Care / Medication Associated Condition): References
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Anemia – Hemorrhage (Procedure-Associated Conditions): Introduction
- Anemia – Hemorrhage (Procedure-Associated Conditions): Discharge Abstract Database
- Anemia – Hemorrhage (Procedure-Associated Conditions): Importance to Patients and Families
- Anemia – Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses
- Anemia – Hemorrhage (Procedure-Associated Conditions): Measures
- Anemia – Hemorrhage (Procedure-Associated Conditions): Success Stories
- Anemia – Hemorrhage (Procedure-Associated Conditions): References
- Birth Trauma: Introduction
- Device Failure: Introduction
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Infections due to Clostridium difficile, MRSA or VRE: Introduction
- Infections due to Clostridium difficile, MRSA or VRE: Discharge Abstract Database
- Infections due to Clostridium difficile, MRSA or VRE: Importance to Patients and Families
- Infections due to Clostridium difficile, MRSA or VRE: Surveillance, Outbreak Management
- Infections due to Clostridium difficile, MRSA or VRE: Clinical and System Reviews, Incident Analyses
- Infections due to Clostridium difficile, MRSA or VRE: Measures
- Infections due to Clostridium difficile, MRSA or VRE: Success Stories
- Infections due to Clostridium difficile, MRSA or VRE: References
- Laceration: Introduction
- Retained Foreign Body: Introduction
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Viral Gastroenteritis: Introduction
- Viral Gastroenteritis: Discharge Abstract Database
- Viral Gastroenteritis: Importance to Patients and Families
- Viral Gastroenteritis: Surveillance, Outbreak Management
- Viral Gastroenteritis: Clinical and System Reviews, Incident Analyses
- Viral Gastroenteritis: Measures
- Viral Gastroenteritis: Success Stories
- Viral Gastroenteritis: References
Obstetric Trauma: Clinical and System Reviews, Incident Analyses
Given the broad range of potential causes of complications from obstetric trauma, clinical and system reviews should be conducted to identify latent causes and determine appropriate recommendations.
Occurrences of harm are often complex with many contributing factors. Organizations need to:
- Measure and monitor the types and frequency of these occurrences.
- Use appropriate analytical methods to understand the contributing factors.
- Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
- Have mechanisms in place to mitigate consequences of harm when it occurs.
To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for conducting chart audits and analysis methods are included in the Hospital Harm Improvement Resources Introduction.
If your review reveals that your cases of OB Trauma are related linked to specific processes or procedures, you may find these resources helpful:
- American College of Obstetricians and Gynecologists (ACOG). https://www.acog.org/
- Prevention and Management of Obstetric Lacerations at Vaginal Delivery. ACOG Practice Bulletin, Clinical Management Guidelines for Obstetrician–Gynecologists. Number 198, September 2018.
- Operative Vaginal Delivery. ACOG Practice Bulletin, Clinical Management Guidelines for Obstetrician–Gynecologists. Number 154, November 2015.
- Vaginal Birth After Cesarean Delivery. ACOG Practice Bulletin, Clinical Management Guidelines for Obstetrician–Gynecologists. Number 2015, February 2019.
- Association of Women's Health, Obstetric and Neonatal Nurses. www.awhonn.org
- Association of Ontario Midwives. https://www.ontariomidwives.ca/
- Vaginal birth after Previous Low-Segment Caesarean Section, Clinical Practice Guideline, 14. September 2011. https://www.ontariomidwives.ca/sites/default/files/CPG%20full%20guidelines/CPG-Vaginal-birth-after-caesarean-section-PUB.pdf
- Ontario Health. https://www.hqontario.ca/
- Vaginal Birth After Caesarean: (VBAC)-Quality Standard-https://www.hqontario.ca/Evidence-to-Improve-Care/Quality-Standards/View-all-Quality-Standards/Vaginal-Birth-After-Caesarean-VBAC
- National Institute for Health and Care Excellence (NICE). https://www.nice.org.uk/
- Intrapartum care for healthy women and babies. Clinical guideline 190. Published date: December 2014, Last updated: February 2017. https://www.nice.org.uk/guidance/cg190
- Caesarean section. Clinical guideline 132. Published date: November 2011 Last updated: September 2019. https://www.nice.org.uk/guidance/cg132
- Royal College of Obstetricians and Gynaecologists (RCOG). https://www.rcog.org.uk/
- The OASI Care Bundle Project- https://www.rcog.org.uk/en/guidelines-research-services/audit-quality-improvement/oasi-care-bundle/
- The Management of Third- and Fourth-Degree Perineal Tears- Green-top Guideline No. 29, June 2015
- Birth After Previous Caesarean Birth-Green-top Guideline No. 45, October 2015
- Society of Obstetricians and Gynaecologists of Canada (SOGC). https://sogc.org/
- Obstetrical Anal Sphincter Injuries (OASIS): Prevention, Recognition, and Repair. SOGC Clinical Practice Guideline. No. 330, December 2015.
- Assisted Vaginal Birth. SOGC Clinical Practice Guideline. No. 381, June 2019.
- Trial of Labour After Caesarean. SOGC Clinical Practice Guideline. No. 382, July 2019.
- World Health Organization (WHO). https://www.who.int/
- WHO Safe Childbirth Checklist. https://www.who.int/patientsafety/implementation/checklists/childbirth/en/
Obstetric Trauma
