This blog is the second of three taken from a recent Webinar featuring Lindsay McAlister, BSN, RN; Alexander Walker, PhD, Senior Director, Learning and Research Design, MedStar; Dr. Tamika Auguste, Associate Medical Director and Director OBGYN Simulation, MedStar Health; and Kris Karlsen, PhD, APRN, NNP-BC, FAAN, Program Author and Founder, S.T.A.B.L.E.
To make the case for our need to improve maternal and perinatal care, Dr. Tamika Auguste starts off with some disappointing statistics on infant and maternal mortality in this country.
Dr. Auguste acknowledges that it is somewhat difficult to determine the root cause of these disappointing figures. Some physicians and researchers believe that the issue is actually a result of better data collection and more accurate reporting of maternal deaths and complications. Or, is it possible that these statistics could simply be reflecting changes in the characteristics of pregnant women? Factors such as advanced maternal age and health issues such as obesity and diabetes may also play a role. However, Dr. Auguste and many of her colleagues believe that these issues are likely accounting for just a small percentage of the problem and that clinical issues directly under the control of providers and healthcare organizations play the most significant role. So, with the problem fairly well defined, where do we begin our improvement efforts?
Dr. Auguste recommends the following tactics for providers and organizations seeking quality improvement in maternal and neonatal care.
Alexander Walker, PhD leads MedStar’s SiTEL (Simulation, Training and Education Laboratory). Dr. Walker advocates a systems-based approach to organization-wide issues that includes education as part of the solution. The first step in the process is a thorough understanding of the problem. Dr. Walker and his team then use this understanding of the problem to design the most effective education that includes the appropriate topics and educational tools. Dr. Walker’s rigorous approach to educational design is just a part of HealthStream’s Quality OB program (co-developed by MedStar SiTEL). The approach produced some very impressive results for the healthcare system. After implementing the Quality OB program, they attained zero serious OB safety events in 2019 and zero lawsuits related to shoulder dystocia in FY 2018-2019.
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