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psnet.ahrq.gov/issue/report-morecambe-bay-investigation
November 16, 2005 - This report discusses an analysis of care delivered in the maternity unit of a National Health Service … Thinking About Learning for Improvement in Health Care. … April 27, 2022
Safety, Equity and Engagement in Maternity Services. … January 12, 2022
The Safety of Maternity Services in England. … 2010
View More
See More About The Topic
Labor and Delivery
Health Care
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdesc.pdf
January 01, 2012 - Clinical Topic Maternity Care
Measure Title Behavioral Health Risk Assessment
Measure # MC-3
Measure … Denominator
Exceptions None
MATERNITY CARE
Data Requirements for PCPI eSpecification
Measure … This attribute can be applied to the to value sets titled:
'Depression Screening Tools Related to Maternity … Measure Logic for Maternity Care: Behavioral Health Risk Assessment
Measure Description: Percentage of … Measure Logic for Maternity Care: Behavioral Health Risk Assessment
Measure Description: Percentage of
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/index.html
June 01, 2018 - Care for Blacks
Health Care for Blacks
Acknowledgments
Part 1: Overviews of the Report and the … and Maternity Care
Part 2: Trends in Priorities of the Heckler Report—References
Part 3: Trends … Care: Slide Presentation [ PowerPoint , 3.5 MB]
Contents
Acknowledgments
Health Care for Blacks … for Cancer
Care for Cardiovascular Diseases
Care for Substance Use Disorders
Care for … Diabetes
Suicide Prevention and Mental Health Care
Infant Mortality and Maternity Care
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www.ahrq.gov/news/newsletters/e-newsletter/913.html
May 01, 2024 - May 14, 2024
AHRQ Stats: Maternal Deaths by Race/Ethnicity In 2020, out of every 100,000 maternity … admissions, an average of 12.2 Black women died—more than double the average of 5.6 deaths for every 100,000 maternity … also faced higher rates of death than White women, with an average of 8.5 deaths for every 100,000 maternity … AHRQ-funded evidence report explored how the healthcare community can effectively deliver respectful maternity … care.
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psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review
December 09, 2020 - Implicit biases are known to affect the safety of health care. … October 6, 2021
View More
Related Resources
Care Post-Roe: Documenting … Cases of Poor-quality Care Since the Dobbs Decision. … November 16, 2022
HSIB Maternity Investigation Programme Year in Review 2021/22. … April 27, 2022
The Safety of Maternity Services in England.
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psnet.ahrq.gov/issue/linking-patient-safety-climate-missed-nursing-care-labor-and-delivery-units-findings-laborrns
January 19, 2022 - survey and missed care during labor and birth. … February 21, 2024
Amid lack of accountability for bias in maternity care, a California … care during labor and birth. … January 19, 2022
Seven features of safety in maternity units: a framework based on multisite … October 21, 2020
Skilful anticipation: maternity nurses' perspectives on maintaining
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psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal
July 26, 2023 - perceptions of interpersonal communication is related to patient safety threats and higher-quality care … and the mediating effect of psychological safety in obstetrical care. … July 26, 2023
Tools for establishing a sustainable safety culture within maternity services … April 26, 2023
Strengthening open disclosure after incidents in maternity care: a realist … February 16, 2022
Seven features of safety in maternity units: a framework based on multisite
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psnet.ahrq.gov/issue/second-victim-phenomenon-health-care-literature-review
June 23, 2021 - The second victim phenomenon in health care: a literature review. … Maternity care can be a high-risk environment . … February 1, 2023
Communication with health care workers regarding health care-associated … May 22, 2024
Strengthening open disclosure after incidents in maternity care: a realist … care during labor and birth.
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psnet.ahrq.gov/issue/effect-program-shorten-decision-delivery-interval-emergent-cesarean-section-maternal-and
April 12, 2019 - Enhancing teamwork and communication are key strategies to prevent errors in surgical care. … View More
Related Resources
A safety evaluation of the impact of maternity-orientated … human factors training on safety culture in a tertiary maternity unit. … of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity … care.
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psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents-and-clinicians
May 13, 2020 - May 13, 2020
Communication with patients and families regarding health care-associated … care units and hospital emergency services. … Expressed Breast Milk
December 18, 2024
Strengthening open disclosure in maternity … January 17, 2024
Vital signs: maternity care experiences — United States, April 2023. … September 6, 2023
Strengthening open disclosure after incidents in maternity care: a
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-tool.html
July 01, 2023 - The rapid response may include—
calling an in-house maternity care provider when patient's provider … calling a multidisciplinary rapid response maternity care team, which may include an maternity care provider … This process may include—
calling an in-house maternity care provider when patient's provider is … calling a multidisciplinary rapid response maternity care team, which may include a maternity care provider … Communicate during transitions of care.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/ipe-large-org-webcast-fishkin.pdf
March 24, 2020 - We are one of America’s leading health care providers
and not-for-profit health plans. … get care + coverage
from Kaiser Permanente
$88.7B
revenue
217K +
employees
improving the health … arrival
Medication education sheets are available to team in English and other preferred languages
Maternity … Care: upon patient arrival in maternity, unit assistant hands RN the colored folder
21 | Copyright … interruptions
Ensure back-up and coverage, charge, or relief nurse covers calls while providing education
Maternity
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psnet.ahrq.gov/issue/examining-effect-quality-improvement-initiatives-decreasing-racial-disparities-maternal
May 11, 2022 - March 30, 2022
Seven features of safety in maternity units: a framework based on multisite … October 21, 2020
Effects of tall man lettering on the visual behaviour of critical care … Perspective
Equity in Patient Safety
March 27, 2024
Vital signs: maternity … care experiences — United States, April 2023. … June 7, 2023
Tools for establishing a sustainable safety culture within maternity services
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www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/index.html
May 01, 2018 - Health Care
Acknowledgments
Health Care For Hispanics
National Quality Strategy Priorities: Patient … Priorities of the Heckler Report
Part 2: Trends in Priorities of the Heckler Report—Infant Mortality and Maternity … Acknowledgments
Health Care For Hispanics
Goals of the Chartbook on Health Care for Hispanics … Care for Cardiovascular Diseases .
Care for Substance Use Disorders .
Care for Diabetes . … Suicide Prevention and Mental Health Care .
Infant Mortality and Maternity Care .
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psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue
March 18, 2020 - A variety of biases can reduce the effectiveness and safety of care. … This commentary focuses on racial bias and highlights its deleterious impact on maternity care and … Citation
Related Resources From the Same Author(s)
Zero harm in health care … associated with an increased risk of being a reported case of preventable harm in first-line health care … April 19, 2023
HSIB Maternity Investigation Programme Year in Review 2021/22.
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psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
October 21, 2020 - October 21, 2020
How to be a very safe maternity unit: an ethnographic study. … February 20, 2019
Quality framework for remote antenatal care: qualitative study with … Association of unexpected newborn deaths with changes in obstetric and neonatal process of care … January 20, 2021
Seven features of safety in maternity units: a framework based on multisite … Impact of the Agency for Healthcare Research and Quality's Safety Program for Perinatal Care
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www.ahrq.gov/policymakers/chipra/factsheets/fullreports/index.html
July 01, 2016 - Episiotomy Coding ( XLS , 180KB)
Additional References for PMCoE Perinatal CHIPRA Project ( PDF , 56KB)
Maternity … Behavior Coding ( XLS , 187KB)
Additional References for PMCoE Perinatal CHIPRA Project ( PDF , 56KB)
Maternity … BMI Coding ( XLS , 163KB)
Additional References for PMCoE Perinatal CHIPRA Project ( PDF , 57KB)
Maternity … Cesarean Coding ( XLS , 181KB)
Additional References for PMCoE Perinatal CHIPRA Project ( PDF , 56KB)
Maternity … Postpartum Coding ( XLS , 230KB)
Additional References for PMCoE Perinatal CHIPRA Project ( PDF , 56KB)
Maternity
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdescription.pdf
January 01, 2012 - Clinical Topic Maternity Care
Measure Title Episiotomy (Overuse)
Measure # MC-7
Measure
Description … Version 2.0
MATERNITY CARE
Data Requirements … patients
who are included in the denominator
population did not receive a process or
outcome of care … Measure Logic for Maternity Care: Episiotomy (Overuse)
Measure Description: Percentage of patients, regardless … Measure Logic for Maternity Care: Episiotomy (Overuse)
Measure Description: Percentage of patients, regardless
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psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
July 01, 2020 - Book/Report
Coding for Success: Simple Technology for Safer Patient Care. … Citation Text:
Coding for Success: Simple Technology for Safer Patient Care. … Citation
Citation Text:
Coding for Success: Simple Technology for Safer Patient Care … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … February 19, 2020
'Reading the Signals' : Maternity and Neonatal Services in East Kent
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www.ahrq.gov/research/findings/nhqrdr/chartbooks/personcentered/measures3.html
June 01, 2018 - Chartbook on Person- and Family-Centered Care
Communication Measures: Home Health Care
Previous … Person- and Family-Centered Care
Summary of Trends
Measures of Person- and Family- Centered Care … Note: Patients receiving hospice care and those who had "maternity" as the primary reason for receiving … home health care are excluded. … Note: Patients receiving hospice care and those who had "maternity" as the primary reason for receiving