Improving Perinatal Care Bibliography, June 2006
ACOG Practice Bulletin. Induction of Labor. Number 10, November 1999.
ACOG Practice Bulletin. Dystocia and Augmentation of Labor. Number 49.
December 2003.
ACOG Practice Bulletin. Intrapartum Fetal Heart Rate Monitoring. Number 70,
December. 2005;105:1165
ACOG Practice Bulletin. Operative Vaginal Delivery, Number 17. June. 2000.
ACOG Practice Bulletin. Shoulder Dystocia. Number 40. November 2002.
ACOG Committee Opinion. Patient Safety in Obstetrics and Gynecology.
Number 286. October. 2003;102:883-885.
ACOG Committee Opinion, The Apgar Score, Number 333.Obstetrics and
Gynecology. 2006;107:1209-1212.
AWHONN Clinical Position Statement: Fetal Assessment. Revised, re-titled and
reaffirmed, April, 2000.
AWHONN Clinical Position Statement: Professional Nursing Support of Laboring
Women. Approved by the Executive Board April, 2000.
AWHONN Evidence-Based Clinical Practice Guideline. Nursing Management of
the Second Stage of Labor. AWHONN. 2000.
Reducing Harm
AHRQ Patient Safety Indicator for “birth trauma”: Online information retrieved 2
December 2005. www.qualityindicators.ahrq.gov/ 18 National Healthcare Quality
Report 2004, AHRQ Publication No. 05-0013. Online information
retrieved 2 December 2005.
www.qualitytools.ahrq.gov/qualityreport/documents/nhqr2004.pdf
Aiken L, Clarke S, Sloane D, et al. Hospital Nurse Staffing and Patient Mortality,
Nurse Burnout, and Job Dissatisfaction. JAMA. 2002; 288(16): 1987-1993.
Asch S, Kerr E, Keesey J, et al. Who is at Greatest Risk for Receiving PoorQuality Health Care? New England Journal of Medicine. 2006; 354:1147-56.
Berwick D, Kilo C. Idealized design of clinical office practice: An interview with
Donald Berwick and Charles Kilo of the Institute for Healthcare Improvement.
Managed Care Q. 1999 Autumn; 7(4):62-69.
1
Bundle Up for Safety. Online information retrieved 27 September 2005.
www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/ImprovementStories/BundleUp
forSafety.htm
Centers of Excellence for Patient Safety Research and Practice, University of
Texas. Safety Climate Survey. Online information retrieved 14 September 2005.
www.ihi.org/IHI/Topics/PatientSafety/MedicationSystems/Tools/Safety%20Climat
e%20Survey%20(IHI%20Tool)
Cherouny PH, Federico FA, Haraden C, Leavitt Gullo S, Resar R. Idealized
Design of Perinatal Care. IHI Innovation Series white paper. Cambridge,
Massachusetts: Institute for Healthcare Improvement; 2005. (Available on
www.IHI.org)
DeFrances C, Podgornik M. 2004 National Hospital Discharge Survey. Division
of Health Care Statistics. Advance Data from Vital and Health Statistics. 2006.
Number 371.
Improving the Reliability of Health Care. IHI Innovation Series white paper.
Boston, MA: Institute for Healthcare Improvement; 2004. Online information
retrieved 14 September 2005. www.ihi.org
JCAHO. Preventing infant death during delivery. Sentinel Event Alert #30, 2004.
Online information retrieved 21 October 2005.
www.jcaho.org/about+us/news+letters/sentinel+event+alert/sea_30.htm
Johnson J, Figueroa R, Garry D, et al. Immediate Maternal and Neonatal Effects
of Forceps and Vacuum-Assisted Deliveries. Obstetrics and Gynecology. 2004;
103:513-8.
Low JA, Victory R, Derrick EJ. Predictive value of electronic fetal monitoring for
intrapartum fetal asphyxia with metabolic acidosis. Obstetrics and Gynecology.
1999; 93:285-291.
Medical Liability Survey Reaffirms More Ob-Gyns Are Quitting Obstetrics. ACOG
News Release, 16 July 2004. Online information accessed 6 December 2005.
www.acog.org/from_home/publications/press_releases/nr07-16-04.cfm
Physician Insurers Association of America. Online information retrieved 14
September 2005. www.thepiaa.org
Medical Malpractice: Verdicts, Settlements and Statistical Analysis Updated
Edition. Horsham,PA: Jury Verdict Research; 2005:12.
2
Menacker, Fay. Trends in Cesarean Rates for First Births abd Repeat Cesarean
Rates for Low-Risk Women: United States 1990-2003. National Vital Statistics
Report. Volume 54, Number 4 September 22, 2005.
Merrill CT, Elixhauser A. Hospitalization in the United States, 2002.
Rockville, MD: Agency for Healthcare Research and Quality. 2005. HCUP
Fact Book No. 6. AHRQ Publication No. 05-0056.
Miller, Lisa. System Errors in Intrapartum Electronic Fetal Monitoring:
A Case Review. Journal of Midwifery and Women’s Health. 2005; 50:507–517.
Moen RD. A Guide for Idealized Design. Unpublished paper prepared for the
Institute for Healthcare Improvement; 2002. Online information retrieved 13
November 2005. www.ihi.org
National Institutes of Health State-of-the-Science Conference Statement.
Cesarean Delivery on Maternal Request. March, 2006. Available for download at
http://consensus.nih.gov/2006/CesareanStatement_Final053106.pdf
Nolan, Thomas W. System Changes to Improve Patient Safety. BMJ. 2000;
320:771-773.
Radel SJ, Norman AM, Notaro JC, Horrigan DR. Redesigning clinical office
practices to improve performance levels in an individual practice association
model HMO. Journal of Healthcare Quality. 2001: 23(2):11-5.
Resar R, Pronovost P, Haraden C, Simmonds T, et al. Using a bundle approach
to improve ventilator care processes and reduce ventilator-associated
pneumonia. Joint Commission Journal on Quality and Patient Safety. 2005;
31(5):243-248
Simpson, Kathleen Rice. Cervical Ripening and Induction and Augmentation of
Labor, 2nd Edition. AWHONN. 2002.
Simpson, Kathleen Rice. Measuring Perinatal Patient Safety: Review of Current
Methods. JOGNN. 35, 432-442. 2006.
Simpson K.R., Atterbury J. Trends and Issues in Labor Induction in the United
States: Implications for Clinical Practice. JOGNN. 2003; 32: 767-779.
Simpson K.R., James D. Efficacy of Intrauterine Resuscitation Techniques in
Improving Fetal Oxygen Status During Labor. Obstetrics and Gynecology. 2005;
105: 1362-8.
3
Simpson KR, Knox GE. Common areas of litigation related to care during labor
and birth: Recommendations to promote patient safety and decrease risk
exposure. Journal of Perinatology and Neonatal Nursing. 2003; 17:110-125.
Testing Changes. Online information retrieved 27 September 2005.
www.ihi.org/IHI/Topics/Improvement/ImprovementMethods/HowToImprove/testin
gchanges.htm © 2005 Institute for Healthcare Improvement.
Thorman K, Capitulo K.L., Dubow J, et al. Perinatal Patient Safety from the
Perspective of Nurse Executives: A Round Table Discussion. JOGNN, 35: 409416.
Vasquez L, Kancir S, Crede W, Schlosser JE. Using Idealized Design to improve
access and clinical quality. Online information retrieved 13 November 2005.
www.scientificsymposium.org/pdf/2004/Vasquez.pdf
White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed
claims in obstetrics and gynecology. Obstetrics and Gynecology. 2005; 105(5 Pt
1):1031-1038.
Zeeman G, Khan-Dawood F, Dawood M.Y. Oxytocin and Its Receptor in
Pregnancy and Parturition: Current Concepts and Clinical Implications.
Review. 1997;89(5)2: 873-883.
Teamwork and Communication
Agency for Healthcare Research and Quality. Hospital Survey on Patient Safety
Culture (HSOPC). Online information retrieved 2 December 2005.
www.ahcpr.gov/qual/hospculture
Best practices in obstetrics- guideline, see: Clinical guidelines for the obstetrical
services of the CRICO-insured institutions. Online information retrieved 26
September 2005.
www.rmf.harvard.edu/reference/guidelines/obguide/obguide_03.pdf
CAP 720 Flight Crew Training: Cockpit Resource Management (CRM) and LineOriented Flight Training (LOFT). Downloaded for use at www.caa.uk. Civil
Aviation Authority. 2002. August.
4
Clinical Handover and Patient Safety Literature Review Report. Australian
Council for Safety and Quality in Health Care. 2005. March. Available at
www.safetyandquality.org
Fox M, Kilpatrick S, King T, Parer JT. Fetal heart rate monitoring: Interpretation
and collaborative management. Journal of Midwifery Women’s Health. 2000;
45:498-507.
Helmreich RL. On error management: Lessons from aviation. BMJ. 2000;
320:781-785.
Johnson CE, Handberg E, et al. Improving perinatal and neonatal patient safety:
The AHRQ Patient Safety Indicators. Journal of Perinatal & Neonatal Nursing.
2005;19(1):15-23.
Nemeth C, O’Connor M, Klock A, et al. Cognitive Artifacts’ Implications for Health
Care Information Technology: Revealing How Practitioners Create and Share
Their Understanding of Daily Work. Advances in Patient Safety: Vol. 2.
Makary M, Sexton B, PronovostP, et al. Operating Room Teamwork Among
Physicians and Nurses: Teamwork in the Eye of the Beholder. From the Department of
Surgery1, John Hopkins University School of Medicine; Department of Health Policy and
Management2, Johns Hopkins Bloomberg School of Public Health; and the Johns
Hopkins Patient Safety and Quality Research Group3, Johns Hopkins Medical
Institutions, Baltimore, MD. October, 2005.
http://www.hopkinsmedicine.org/Press_releases/2006/05_01A_06.HTML
http://www.npsf.org/congress/posters/Research/Paine,Lori-Abstract2.doc
Miller LA. Patient safety and teamwork in perinatal care: Resources for clinicians.
Journal of Perinatal & Neonatal Nursing. 2005;19(1):46-51.
Patterson E, Woods D, Cook R. Collaborative Cross-Checking to Enhance
Resilience. Proceedings of the Human Factors and Ergonomics Society 49 th
Annual Meeting. 2005.
SBAR Technique for Communication: A Situational Briefing Model. Online
information retrieved 14 September 2005.
www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/SBAR
TechniqueforCommunicationASituationalBriefingModel.htm
Simpson KR, Creehan PA. AWHONN, Perinatal Nursing. Philadelphia:
Lippincott-Raven; 1996.
Simpson KR. Failure to rescue: Implications for evaluating quality of care during
labor and birth. Journal of Perinatal & Neonatal Nursing. 2005;19(1):24-34.
5
Simpson KR, Atterbury J. Trends and issues in labor induction in the United
States: Implications for clinical practice. JOGNN. 2003;32:767-779.
Spear S, Schmidhofer M. Ambiguity and Workarounds as Contributors to Medical
Error. Annals of Internal Medicine. 2005;142:627-630.
Patient Centeredness
Dana-Farber/Brigham and Women’s Cancer Center Adult Patient and Family
Advisory Council Bylaws. Dana-Farber and Brigham and Women’s Cancer
Center.
Gramling L, Hickman K, Bennett S. What Makes a Good Family-Centered
Partnership Between Women and Their Practitioners? A Qualitative Study.
BIRTH. 2004; 32(1): 43-48.
Institute of Medicine. Crossing the Quality Chasm: A New Health System for the
21st Century. 2001. National Academy of Sciences.
Institute of Medicine. Keeping Patients Safe: Transforming the Work Environment
of Nurses. 2004. National Academy of Sciences.
Martell, Louise K. From Innovation to Common Practice: Perinatal Nursing Pre1970 to 2005. Journal of Perinatal and Neonatal Nursing. 2006; 20(1):8-16.
Martell, Louise K. Postpartum Women’s Perceptions of the Hospital Environment.
JOGNN. 2006; 32(4): 478-485.
Tanassi, Lucia M. Compliance as Strategy: the importance of personalized
relations in obstetric practice. Social Science and Medicine. 2004; 59: 20532069.
Strategies for Leadership: Patient and Family-Centered Care Toolkit. AHA in
partnership with the Institute for Family-Centered Care. Available for free
download at
http://www.aha.org/aha/key_issues/patient_safety/resources/patientcenteredcare
.html
Disparity
“Medicaid’s Role for Women”. Issue Brief: An Update on Women’s Health Policy.
November. 2004. The Henri J. Kaiser Foundation. Available for free download at
www.kff.org.
.
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