Reduction of cesarean delivery rates after implementation of a comprehensive patient safety program

被引：16
|
作者：
Grunebaum, Amos [1 ]
Dudenhausen, Joachim [1 ]
Chervenak, Frank A. [1 ]
Skupski, Daniel [1 ]
机构：
[1] Cornell Univ, New York Weill Med Coll, Dept Obstretr & Gynecol, New York, NY 10065 USA
来源：
JOURNAL OF PERINATAL MEDICINE | 2013年 / 41卷 / 01期
关键词：
Cesarean delivery; patient safety; uniform protocols; LOW-DOSE OXYTOCIN; PREGNANCY OUTCOMES; LABOR; INDUCTION; AUGMENTATION; MALPRACTICE;
D O I：
10.1515/jpm-2012-0181
中图分类号：
R71 [妇产科学];
学科分类号：
100211 ;
摘要：
Aims: The objective of this paper was to review our institution's cesarean delivery rates starting in 2004 prior to the full implementation of a patient safety program including a uniform oxytocin policy until 2012 when the oxytocin policy and the safety program had been fully implemented. Results: Cesarean delivery rates at our institution decreased incrementally from 41.6% in 2004 to 32.7% in 2012. The decrease in cesarean delivery rates was observed for each of the five age groups. Conclusion: Concerns about an increase in cesarean delivery rates after implementation of a comprehensive patient safety program including a standardized oxytocin protocol may be unfounded. Despite the increase of US national cesarean delivery rates, our study shows that it is possible to safely lower cesarean delivery rates without concomitant concerns of litigations.
引用
收藏
页码：51 / 55
页数：5
相关论文
共 50 条
  • [1] Do Rates of Surgical Site Infections After Cesarean Delivery Change After Implementation of an Enhanced Recovery After Cesarean Program?
    Lee, S.
    Cheng, C.
    Patel, I
    Veluri, S.
    Brickner, K.
    Asim, H.
    Boyd, A.
    AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2024, 231 (06)
  • [2] Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery
    Dieplinger, Benjamin
    Egger, Margot
    Jezek, Christian
    Heinisch-Finke, Christine
    Altendorfer, Christian
    Pernerstorfer, Thomas
    Hefler, Lukas
    Pateisky, Norbert
    Mueller, Thomas
    AMERICAN JOURNAL OF INFECTION CONTROL, 2020, 48 (04) : 386 - 390
  • [3] Implementation strategies associated with stronger implementation of a patient safety bundle to reduce primary cesarean delivery rates at Maryland hospitals
    Callaghan-Koru, Jennifer
    Creanga, Andreea
    DiPietro, Bonnie
    Mark, Katrina
    Sowe, Ardy
    Aboumatar, Nour
    Burke, Ann
    Curran, Geoffrey
    IMPLEMENTATION SCIENCE, 2019, 14
  • [4] Cesarean Delivery Rates and Costs of Childbirth in a State Medicaid Program After Implementation of a Blended Payment Policy
    Kozhimannil, Katy B.
    Graves, Amy J.
    Ecklund, Alexandra M.
    Shah, Neel
    Aggarwal, Reena
    Snowden, Jonathan M.
    MEDICAL CARE, 2018, 56 (08) : 658 - 664
  • [5] The Significance of the Second Cesarean Delivery in the Reduction of Institutional Cesarean Delivery Rates
    Diejomaoh, Michael F. E.
    Al-Jassar, Waleed Fahad
    Bello, Zainab
    Karunakaran, Kavitha
    Mohammed, Asiya
    OBSTETRICS AND GYNECOLOGY, 2015, 125 : 15S - 15S
  • [6] The Relevance of the Second Cesarean Delivery in the Reduction of Institutional Cesarean Delivery Rates
    Diejomaoh, Michael F. E.
    Al-Jassar, Waleed
    Bello, Zainab
    Karunakaran, Kavitha
    Mohammed, Asiya
    MEDICAL PRINCIPLES AND PRACTICE, 2018, 27 (06) : 555 - 561
  • [7] Patient Readmission Rates For All Insurance Types After Implementation Of The Hospital Readmissions Reduction Program
    Ferro, Enrico G.
    Secemsky, Eric A.
    Wadhera, Rishi K.
    Choi, Eunhee
    Strom, Jordan B.
    Wasfy, Jason H.
    Wang, Yun
    Shen, Changyu
    Yeh, Robert W.
    HEALTH AFFAIRS, 2019, 38 (04) : 585 - 593
  • [8] Reduction in the Cesarean Delivery Rate After Obstetric Care Consensus Guideline Implementation
    Marte, Kyla
    Voutsos, Lester
    OBSTETRICS AND GYNECOLOGY, 2016, 128 (06): : 1445 - 1445
  • [9] Reduction in the Cesarean Delivery Rate After Obstetric Care Consensus Guideline Implementation
    Wilson-Leedy, Jonas G.
    DiSilvestro, Alexis J.
    Repke, John T.
    Pauli, Jaimey M.
    OBSTETRICS AND GYNECOLOGY, 2016, 128 (01): : 145 - 152
  • [10] Audit of an early feeding program after Cesarean delivery:: patient wellbeing is increased
    Benhamou, D
    Técsy, M
    Parry, N
    Mercier, FJ
    Burg, C
    CANADIAN JOURNAL OF ANAESTHESIA-JOURNAL CANADIEN D ANESTHESIE, 2002, 49 (08): : 814 - 819
12345