Labor and delivery
An Arizona clinic for women refugees provides comprehensive, culturally sensitive care across the reproductive life span, leading to enhanced access to services, high patient satisfaction, greater awareness of breast cancer and mammography, and better planning for childbirth.
Electronic alerts, patient education, and provider performance reports promote adherence to a guideline covering early elective inductions, leading to a significant decline in such inductions, shorter average labor, and fewer newborn complications.
Nursing students provide free doula care to underserved women, leading to fewer preterm births, low birthweight babies, and cesarean sections, and generating high levels of patient satisfaction.
A multifaceted program in a rural, community hospital reduced mean decision-to-incision time for emergency cesarean deliveries and increased adherence to guidelines that recommend that such deliveries begin in less than 30 minutes.
Multidisciplinary teams rehearse the most common emergency situations that can occur during a delivery, leading to improved responses and better outcomes during real emergencies.
Regions Hospital improved the safety and reliability of labor and delivery care by adopting standardized protocols and processes to guide care, along with strategies to improve communication among providers.
Crisis Resource Management is a 7-hour course for labor and delivery practitioners that uses various strategies of crew resource management, a safety program developed by the aviation industry, to create realistic simulations designed to facilitate improvement of teamwork and communication skills in a real labor and delivery crisis.