TY - JOUR
T1 - Confronting safety gaps across labor and delivery teams
AU - Maxfield, David G.
AU - Lyndon, Audrey
AU - Kennedy, Holly Powell
AU - O'Keeffe, Daniel F.
AU - Zlatnik, Marya G.
N1 - Copyright:
Copyright 2018 Elsevier B.V., All rights reserved.
PY - 2013/11
Y1 - 2013/11
N2 - We assessed the occurrence of 4 safety concerns among labor and delivery teams: dangerous shortcuts, missing competencies, disrespect, and performance problems. A total of 3282 participants completed surveys, and 92% of physicians (906 of 985), 93% of midwives (385 of 414), and 98% of nurses (1846 of 1884) observed at least 1 concern within the preceding year. A majority of respondents said these concerns undermined patient safety, harmed patients, or led them to seriously consider transferring or leaving their positions. Only 9% of physicians, 13% of midwives, and 13% of nurses shared their full concerns with the person involved. Organizational silence is evident within labor-and-delivery teams. Improvement will require multiple strategies, used at the personal, social, and structural levels.
AB - We assessed the occurrence of 4 safety concerns among labor and delivery teams: dangerous shortcuts, missing competencies, disrespect, and performance problems. A total of 3282 participants completed surveys, and 92% of physicians (906 of 985), 93% of midwives (385 of 414), and 98% of nurses (1846 of 1884) observed at least 1 concern within the preceding year. A majority of respondents said these concerns undermined patient safety, harmed patients, or led them to seriously consider transferring or leaving their positions. Only 9% of physicians, 13% of midwives, and 13% of nurses shared their full concerns with the person involved. Organizational silence is evident within labor-and-delivery teams. Improvement will require multiple strategies, used at the personal, social, and structural levels.
KW - communication
KW - organizational silence
KW - patient safety
KW - psychological safety
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U2 - 10.1016/j.ajog.2013.07.013
DO - 10.1016/j.ajog.2013.07.013
M3 - Review article
C2 - 23871951
AN - SCOPUS:84886799355
SN - 0002-9378
VL - 209
SP - 402-408.e3
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
IS - 5
ER -