Alarm Fatigue, Blood Clots, Must Reads, Opioid Safety, Respiratory Compromise

Weekly Must Reads in Patient Safety (Sep 26, 2014)

According to the CDC, the maternal death rate in the U.S. has more than doubled since 1987. So, with that shocking statistic in mind, we felt that we had to point out articles dealing with pregnancy … and a reminder that alarm fatigue just doesn’t annoy nurses … and, lastly, one interesting video from Derriford Hospital in the UK that is improving health outcomes for its patients by doing the “wiggle”. Read More

Blood Clots, Practices & Tips

Clinical Tip: Mother Dies After Childbirth – What you need to know about Amniotic Fluid Embolism Now

By Lynn Razzano, RN, MSN, ONCC

The Boston Herald recently reported that 32-year old Colleen Celia on January 15, 2014, shortly after giving birth to her fourth child.  The young mother died from amniotic fluid embolism, where amniotic fluid enters the mother’s bloodstream. Read More

Blood Clots, Patient Stories

“No patients are low risk” when it comes to cesarean delivery and venous thromboembolism, says perinatal expert Dr. Peter Cherouny

by Sean Power
February 4, 2014

The Institute for Healthcare Improvement (IHI) held on January 22, 2014 a special webinar for the Perinatal Improvement Community on safety recommendations for maternal patients. You can download the webinar recording and slides here.

The webinar featured Peter Cherouny, MD, Emeritus Professor, Obstetrics, Gynecology, and Reproductive Sciences, University of Vermont, Chair and Lead Faculty of the IHI Perinatal Improvement Community and Michael Wong, JD, Executive Director of the Physician-Patient Alliance for Health and Safety (PPAHS).

Maternal death rate in the USA has more than doubled in the last 25 years and data from the Centers for Disease Control and Prevention (CDC) show that pregnancy-related mortality is rising in the United States. Read More

Blood Clots

Safety Recommendations Address Blood Clot Prevention for Pregnant Mothers: Physician-Patient Alliance for Health & Safety Presentation at National Perinatal Association Conference

The Physician-Patient Alliance for Health & Safety presented a draft of safety recommendations targeting venous thromboembolism (commonly referred to as blood clots) for women having cesarean and vaginal delivery, and the extension of prophylaxis post discharge.

According to the CDC, the maternal death rate in the U.S. has more than doubled since 1987. Read More