A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | AHRQ Patient Safety Network

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | AHRQ Patient Safety Network

• Study
 
• Published March 2019

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.

Ogunyemi D, Hage N, Kim SK, Friedman P. Jt Comm J Qual Patient Saf. 2019 Mar 20; [Epub ahead of print].

The rise in maternal morbidity and mortality is one of the most pressing patient safety issues in the United States. Formal debriefing after adverse events is an important method for analyzing and improving safety. In this study, an academic hospital adopted a systems-based morbidity and mortality conference model to review cases of serious maternal harm and implemented several safety measures (including teamwork training) to address issues that were identified through structured review.

PubMed citationAvailable at