Have an account? Please log in.
Text size: Small font Default font Larger font
.
Radiology Daily
Radiology Daily PracticalReviews.com Radiology Daily

No Trends Recognized for Cause of Delivery-Related Maternal Deaths

March 13, 2008
Written by: , Filed in: Practice Management
  • Comments
.

Despite investigations and studies, no trends have been identified to help
develop measures to avoid maternal deaths or serious disability associated
with labor or delivery in a low-risk pregnancy.

The National Quality Forum has compiled a list of 28 serious health care-
related errors, or ‘never events,’ classified into six different categories.

One of these six major categories is care management events, which includes
several different issues.

One such issue is that of maternal death or serious disability associated with
labor or delivery in a low-risk pregnancy while being cared for in a health
care facility.

The expectation today is that women receive prenatal care, regardless of
whether they plan to deliver at a birthing center, in a hospital with an
obstetrician, with a midwife, or with a family practitioner. Regardless, the
expectation is that there will be prenatal care.

Although the numbers are not huge, every now and then we encounter a maternal
death that completely catches everyone by surprise. If, during the
investigation of this event, the investigators go backward through the entire
process, they find that something was missed.

Hindsight being what it is, we try to capture information to determine if
there is a pattern or a trend associated with these unexpected maternal
deaths/disabilities. However, we are not aware of any such identified trends.
This is one of those serious adverse events that people look at and say,
“There must be a way to prevent this.”

Communication is a key element in the management of these events. Hopefully,
the obstetrician and the anesthesiologist are on the same page, working
together to overcome whatever the issue may be, such as bleeding. Whatever the
unanticipated problem that develops during delivery, the obstetrician and
anesthesiologist must be working together to attack the problem.

Reference
Kathleen Hale, RN, BSN, MHSA, and Richard P. Kidwell, JD Never Events:
Maternal Death or Disability Associated With Labor or Delivery in a Low-Risk
Pregnancy.

Despite investigations and studies, no trends have been identified to help develop measures to avoid maternal deaths or serious disability associated with labor or delivery in a low-risk pregnancy. The National Quality Forum has compiled a list of 28 serious health care- related errors, or 'never events,' classified into six different categories. One of these six major categories is care management events, which includes several different issues. One such issue is that of maternal death or serious disability associated with labor or delivery in a low-risk pregnancy while being cared for in a health care facility. The expectation today is that women receive prenatal care, regardless of whether they plan to deliver at a birthing center, in a hospital with an obstetrician, with a midwife, or with a family practitioner. Regardless, the expectation is that there will be prenatal care. Although the numbers are not huge, every now and then we encounter a maternal death that completely catches everyone by surprise. If, during the investigation of this event, the investigators go backward through the entire process, they find that something was missed. Hindsight being what it is, we try to capture information to determine if there is a pattern or a trend associated with these unexpected maternal deaths/disabilities. However, we are not aware of any such identified trends. This is one of those serious adverse events that people look at and say, "There must be a way to prevent this." Communication is a key element in the management of these events. Hopefully, the obstetrician and the anesthesiologist are on the same page, working together to overcome whatever the issue may be, such as bleeding. Whatever the unanticipated problem that develops during delivery, the obstetrician and anesthesiologist must be working together to attack the problem. Reference Kathleen Hale, RN, BSN, MHSA, and Richard P. Kidwell, JD Never Events: Maternal Death or Disability Associated With Labor or Delivery in a Low-Risk Pregnancy. [text_ad]
.

Permalink: http://www.radiologydaily.com/?p=2604

Tags: , , , , , , , , , , ,

  • Comments
.

Would you like to keep current with radiological news and information?

Post Your Comments and Responses

Comments are closed.