ACOG District XI Quality & Patient Safety Updates
Gary A. Dildy, MD, FACOG & Fran Kelly, PhD(c), MSN, RNC-OB, NEA-BC, CPHQ
September 2015 The Council On Patient Safety In Women’s Health Care continues its Safety Action Series of free teleconferences with “Conducting Drills for Hypertension in Pregnancy” on 17 September 2015 at 11:00 Eastern time.
July 2015 Doctors Pettker and Grobman published an excellent review of the essential components of an obstetrical quality improvement and patient safety program.
Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol 2015;126:196-206. PMID: 26241273.
July 2015 The 2015 Leapfrog Hospital Survey Results can be queried by hospital, city, state and zip code. Maternity Care metrics include elective early term deliveries, rate of cesarean section, rate of episiotomy, maternity standard care precautions (preventing venous thromboembolism at cesarean and screening for newborn hyperbilirubinemia before discharge), and high-risk deliveries.
January 2015 Mandatory reporting of Preventable Adverse Events (PAE) occurring at Texas health care facilities, including hospitals and ambulatory surgery centers, began 1 January 2015, following amendments to the Texas Health and Safety Code that require both reporting by healthcare facilities to the Department of State Health Services and that the Department shall post PAE data on its public website. Reportable events specific to perinatal care include “Perinatal death or severe harm (maternal or neonate) associated with labor or delivery in a low-risk pregnancy while being cared for in a health care facility”.
January 2015 In the Results of the 2014 Leapfrog Hospital Survey, Leapfrog’s Maternity Care Expert Panel recommended lowering the episiotomy rate standard from 12% to 5% in 2015.