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Best Practices Toolkit – Obstetrics

The resource links below are provided for informational purposes only and are not intended as legal or medical advice. Links to outside training programs are suggestions of potential resources for training and should not be considered an endorsement of content or the company. Med-IQ bears no responsibility for the accuracy, legality, or content of any external site. The concepts discussed during the webinar, as well as the list below, represent some suggestions for improving practice and are not intended to be all-inclusive.

Improving Outcomes

• Agency for Healthcare Research and Quality. Toolkit for Improving Perinatal Safety. Last reviewed June 2017. Accessed October 29, 2021.
• American College of Obstetricians and Gynecologists. Safe Motherhood Initiative. Maternal Safety Bundles. Accessed October 19, 2021.

Click on the bundle title to view

Obstetric Hemorrhage	Severe Hypertension
Venous Thromboembolism	Maternal Sepsis
Maternal Early Warning Systems in Pregnancy

• Alliance for Innovation on Maternal Health. Patient Safety Bundles. Accessed October 19, 2021.

Click on the respective bundle title to view

Obstetric Hemorrhage	Postpartum Basics: From Birth to Postpartum Visit	Support After a Severe Maternal Event
Severe Hypertension in Pregnancy	Postpartum Basics: From Maternity to Well-Woman Care	Prevention of Surgical Site Infections After Gynecologic Surgery
Safe Reduction of Primary Cesarean Birth	Maternal Mental Health: Perinatal Depression and Anxiety	Enhanced Recovery After Major Gynecologic Surgery
Obstetric Care for Women with Opioid Use Disorder	Maternal Venous Thromboembolism	Retained Vaginal Sponges After Birth
Cardiac Conditions in Obstetrical Care	Reduction of Peripartum Racial and Ethnic Disparities	Postpartum Discharge Transition

• Centers for Disease Control and Prevention. Perinatal Quality Collaboratives. Last reviewed May 7, 2021. Accessed October 19, 2021.
• California Maternal Quality Care Collaborative. OB Hemorrhage Toolkit V 2.0. March 24, 2015. Accessed November 8, 2021.
• Institute for Healthcare Improvement. Better Maternal Outcomes Quality Improvement Workbooks. Accessed October 18, 2021.
• Institute for Healthcare Improvement. IHI Perinatal Trigger Tool. Accessed October 19, 2021.
• The Joint Commission. Proactive prevention of maternal death from maternal hemorrhage. Quick Safety. 2019;51:1-3. Accessed November 8, 2021.

Human Factors

• Ansari SP, Rayfield ME, Wallis VA, Jardine JE, Morris EP, Prosser-Snelling E. A safety evaluation of the impact of maternity-oriented human factors training on safety culture in a tertiary maternity unit. J Patient Saf. 2020;16(4):e359-e366.
• Agency for Healthcare Research and Quality. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS). Accessed October 7, 2021.
• Clinical Human Factors Group.
  • Human Factors in Healthcare: Common Terms. Accessed October 12, 2021
  • ‘How to’ Guide to Human Factors – Volume 1. 2009. Accessed October 19, 2021
  • ‘How to’ Guide to Human Factors – Volume 2. 2013. Accessed October 19, 2021.
• Crucial Learning. Crucial Conversations for Mastering Dialogue. Accessed October 7, 2021.
• Wiegmann DA, Wood LJ, Solomon Db, Shappell SA. Implementing a human factors approach to RCA²: tools, processes, and strategies. J Healthc Risk Manag. 2021;41(1):31-46.
• Yamada NK, Catchpole K, Salas E. The role of human factors in neonatal patient safety. Semin Perinatol. 2019;43(8):151174.

Simulation Training

• Casper L, Arafeh J. CMQCC Obstetric Hemorrhage Toolkit. Version 2.0. Simulation and Drills. March 24, 2015. Accessed November 8, 2021.
• California Maternal Quality Care Collaborative. OB Hemorrhage Toolkit. Version 2.0. March 24, 2015. Accessed November 8, 2021.
  • Educational Tool #1. Guidelines Simulation Scenario Development
  • Educational Tool #2. Sample Scenario #1: Drill for Uterine Atony
  • Educational Tool #3. Sample Scenario #2: Drill for Hemorrhage and Pulseless Electrical Activity in the OR
  • Educational Tool #4. Kaiser Evaluation for Drills; Debriefing Tool
• American College of Obstetricians and Gynecologists. Safe Health Care for Every Woman. Practicing for Patients: Obstetric In-Situ Drill Program Manual. Version 2. Released March 2021.
• Schaffer AC, Babayan A, Einbinder JS, Sata L, Gardner R. Association of simulation training with rates of medical malpractice claims among obstetrician-gynecologists. Obstet Gynecol. 2021;138(2):246-252.
• Weiss TG, Rentea RM. Simulation Training and Skill Assessment in Obstetrics and Gynecology. StatPearls [Internet]. Last updated May 9, 2021. Accessed October 19, 2021.

Interprovider Communication

• Smith PD, Boyd C, Bellantomi J, et al. Communication between office-based primary care providers and nurses working within patients’ homes: an analysis of process data from CAPABLE. J Clin Nurs. 2016;25(3-4):454-462.
• Gleason K, Brake H, Agramonte V, Perfetti C. Medications at Transition and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. AHRQ Pub No. 11(12)-0059. Updated August 2012. Accessed October 7, 2021.
• Crucial Learning. Crucial Conversations for Mastering Dialogue. Accessed October 7, 2021.

Communication With Patients

• Agency for Healthcare Research and Quality. AHRQ Health Literacy Universal Precautions Toolkit. Updated September 2020. Accessed October 7, 2021.
• Agency for Healthcare Research and Quality. AHRQ’s Making Informed Consent an Informed Choice: Training Modules for Health Care Leaders and Professionals. Updated September 2020. Accessed October 7, 2021.
• Agency for Healthcare Research and Quality. Communication and Optimal Resolution (CANDOR) Toolkit. Updated October 2020. Accessed October 7, 2021.
• Agency for Healthcare Research and Quality. Engaging Patients and Families in Their Health Care. Last reviewed August 2021. Accessed October 19, 2021.
• Agency for Healthcare Research and Quality. The SHARE Approach: A Model for Shared Decisionmaking – Fact Sheet. Updated September 2020. Accessed October 7, 2021.
• The Joint Commission. Speak Up Campaigns. Accessed October 6, 2021.
  • Speak Up About Your Care. Accessed October 6, 2021.
  • Speak Up for Your Rights. Accessed October 6, 2021.
  • Speak Up at the Doctor’s Office. Accessed October 6, 2021.