AHRQ’s Web M&M Explores Complexities in Monitoring Fetal Health
The latest issue of AHRQ Web M&M features a Spotlight Case that examines the risks and benefits of monitoring fetal heart rate tracings during labor. It describes a 29-year-old woman who had an uncomplicated pregnancy with a healthy fetus and presented to the hospital at term (40 weeks) in early labor. She progressed slowly the first night, but the next morning she pushed for approximately two hours without any difficulty or any sign of problems with the fetus. Unfortunately, the newborn was cyanotic and flaccid with very low Apgar scores. The infant required extensive resuscitation but survived and was transferred to the neonatal intensive care unit. In addition, the Perspectives on Safety section features an interview with Mark Graban, M.S., M.B.A., an internationally recognized expert in Lean health care, about applying Lean principles in hospitals to improve safety and decrease waste. The Perspective section features a book excerpt by Paul E. Plsek, M.S., principal, Plsek & Associates, in Roswell, Georgia, describing how integrating innovation and Lean concepts at Virginia Mason Medical Center in Seattle enhanced clinical performance and the patient experience.
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