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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - Shoulder dystocia and injuries: prevention and management. … delivery and documentation of sequence of maneuvers
Head delivered: (hh:mm:ss) ____:____:____
Shoulders … shoulder. … shoulder and pressure placed that is meant to abduct and extend the posterior shoulder. … This will flex and adduct the shoulders and should disengage the anterior shoulder to allow the body
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
July 01, 2023 - Sample Scenario for Shoulder Dystocia In Situ Simulation
AHRQ Safety Program for … an in situ simulation for shoulder dystocia. … Shoulder Dystocia Simulation Assessment Tool. … The posterior shoulder has been delivered. … Trigger #4
The posterior shoulder has been delivered.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
May 01, 2017 - Shoulder dystocia and injuries: prevention and management. … Summary of delivery and documentation of sequence of maneuvers
Head delivered: (hh:mm:ss) ____:____:____
Shoulders … shoulder. … shoulder and pressure placed that is meant to abduct and extend the posterior shoulder. … This will flex and adduct the shoulders and should disengage the anterior shoulder to allow the body
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_shoulder-dystocia.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Sample Scenario for Shoulder Dystocia In Situ Simulation
AHRQ … Scenario for Shoulder Dystocia In Situ Simulation
Purpose of the tool: The Shoulder Dystocia In Situ … an in situ simulation for shoulder dystocia. … The posterior shoulder has been delivered. … Trigger #4
The posterior shoulder has been delivered.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Slide 15: Shoulder Dystocia
Shoulder Dystocia
Slide 16: Key Safety Elements: Standardize When … Care provider clearly states the concern for shoulder dystocia. … Slide 18: Sample Checklist: Shoulder Dystocia
A sample checklist for shoulder dystocia management … Patient safety checklist No. 6: documenting shoulder dystocia. … Shoulder dystocia and injuries: prevention and management.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - ACOG practice bulletin: Shoulder dystocia. Number 40, November 2002. … All-fours maneuver for reducing shoulder dystocia during labor. … Patient safety checklist No. 6: documenting shoulder dystocia. … Shoulder dystocia and injuries: prevention and management. … Improving neonatal outcome through practical shoulder dystocia training.
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www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … Correlations Among the Mean Rankings for Each Event by L&D Phase
Unplanned Return
Shoulder … Event type (e.g., Shoulder Dystocia, Post-Partum Hemorrhage) mattered least during the Delivery phase … Unplanned Return (N=3); Shoulder Dystocia (N=3); Post‑Partum Hemorrhage (N=4); Intra-Partum Fetal Death … Correlations Among the Mean Rankings for Each Event
Unplanned Return
Shoulder Dystocia
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Shoulder dystocia.
Obstetric hemorrhage.
Umbilical cord prolapse. … related to care during a delivery complicated by shoulder dystocia. … This approach can include—
The care provider clearly stating the concern for shoulder dystocia. … Slide 18: Sample Checklist: Shoulder Dystocia
Say:
A sample checklist for shoulder dystocia is … It provides suggested checklist items that teams can use for safe care during an episode of shoulder
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdescription.pdf
January 01, 2012 - Measure
Description
Percentage of patients, regardless of age, who gave birth vaginally (without shoulder … measures
Initial Patient
Population All patients, regardless of age, who gave birth vaginally (without shoulder … Equal to Initial Patient Population
Denominator
Exclusions Patients who had an active diagnosis of shoulder … )
Measure Description: Percentage of patients, regardless of age, who gave birth vaginally (without shoulder … )
Measure Description: Percentage of patients, regardless of age, who gave birth vaginally (without shoulder
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.docx
May 01, 2017 - Care, or SPPC, focuses on key safety elements for four specific L&D situations:
Safe cesarean section
Shoulder … Slide 15
SAY:
The first consideration of L&D unit safety for management of shoulder dystocia is to … Slide 17
SAY:
A sample checklist for shoulder dystocia is provided as an appendix to this tool. … It provides suggested checklist items that teams can use for safe care during an episode of shoulder … Shoulder dystocia simulation training focused on clinical/technical skills may require a mannequin or
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
May 01, 2017 - SPPC, focuses on key
safety elements for four specific L&D
situations:
• Safe cesarean section
• Shoulder … This approach can include—
• The care provider clearly stating the
concern for shoulder dystocia … Slide 17
SAY:
A sample checklist for shoulder dystocia is
provided as an appendix to this tool … It
provides suggested checklist items that teams
can use for safe care during an episode of
shoulder … Shoulder dystocia simulation training focused
on clinical/technical skills may require a
mannequin
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/followup.html
August 01, 2022 - The interventions include safely managing labor-inducing medications and shoulder dystocia (when delivering … the baby is difficult because the shoulder is lodged behind the mother’s pubic bone).
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/pelvic-floor-therapy-handout.pdf
June 02, 2025 - Start standing with your feet flat on the floor, shoulder width apart. … Start on all fours with wrists under shoulders and knees under hips. … Pull your shoulder blades
down your back toward your hips
2. … Simultaneously straighten and raise your left leg and right arm, keeping your
pelvis and shoulders in … Keep your head lifted and your chin parallel to the ground, shoulders should be in
line with your hips
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - to deliver the shoulders, with documentation of the sequence of maneuvers
Announce elapsed time using … the delivery time of the shoulders
If the shoulders are not delivered within 3 minutes of the head … Shoulder dystocia risk factors. … Shoulder dystocia risk factors. … Shoulder dystocia-related claims.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
May 01, 2017 - • Private, not-for-profit health system
in Raleigh, NC
• Three hospitals
Strategies:
Shoulder … during deliveries complicated by
shoulder dystocia. … This improved the documentation of
deliveries complicated by shoulder dystocia. … variability
• Variable decelerations with other characteristics, such as slow return to baseline or “shoulders … They trained staff on the use
of the shoulder dystocia module that came installed in the
EHR.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - during deliveries complicated by
shoulder dystocia. … dystocia emergency. ”We had a 2-minute-and-49-
second shoulder dystocia, but we had a baby that had … This improved the documentation of
deliveries complicated by shoulder dystocia. … variability
• Variable decelerations with other characteristics, such as slow return to baseline or “shoulders … They trained staff on the use
of the shoulder dystocia module that came installed in the
EHR.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - AHRQ Safety Program for Perinatal Care Case Studies 8
IMPROVING RESPONSE TO SHOULDER DYSTOCIA
The … implementation team also sought to improve the care provided during deliveries
complicated by shoulder … dystocia emergency. ”We had a 2-minute-and-49-second shoulder dystocia,
but we had a baby that had … This improved
the documentation of deliveries complicated by shoulder dystocia. … The WakeMed Cary hospital team stated that the changes implemented for shoulder dystocia
management
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - Infectious and thromboembolic complications of arthroscopic shoulder surgery, Randelli P, Castagna A … , Cabitza F, Cabitza P, Arrigoni P, Denti M., J Shoulder Elbow Surg , 19, pp 97-101 2010. … Aims
To identify infection rates in arthroscopic shoulder surgery. … Arthroscopic Surgery of the Shoulder: A General Appraisal, Ogilvie-Harris, DJ, Wiley, AM, 1986. … Table of Complications during procedures (15/141 shoulders)
Pg.787 - Curtis reported 4.6% complication
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/hycr-tools-resources-guide.pdf
June 02, 2025 - QUAD STRETCH
SHOULDER SHRUGS
Stand with your back straight
and shoulders down. … Allow arms to fall by sides and
shrug shoulders up and down. … Standing Shoulder Press With Tube Bands
Area Targeted:
Standing Shoulder Press With Resistance Tube … Standing Lateral Shoulder Raise With Tube Bands
Area Targeted: Side Shoulder
Can you get a better … Side Shoulder Exercise than Standing Lateral Shoulder Raise with Tube
Bands?
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www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - steps taken by Biden-Harris Administration to make patient safety a national priority: “AHRQ stands shoulder-to-shoulder