A Performance Improvement Process to Tackle Tachysystole

Doyle, Jason; Kenny, Tiffany H.; Burkett, Amy M.; Gruenigen, Vivian E. von

doi:10.1111/j.1552-6909.2011.01275.x

Cited by 11 publications

(8 citation statements)

References 5 publications

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“…A team of FHM reviewers was already in place reviewing 40 FHM strips per month for a normal fetal status at the start of oxytocin administration, and the avoidance or proper management of uterine tachysystole (Doyle et al., ; Kenny et al., ). The FHM review team included six staff nurses, three of which were AWHONN FHM instructors.…”

Section: Methodsmentioning

confidence: 99%

“…In the literature, application of the PDSA cycle to FHM peer review has not been cited. However, departmentally we have used the PDSA cycle to improve the use of standardized communication, antenatal steroid administration, oxytocin administration (Doyle, Kenny, Burkett, & von Gruenigen, 2011), and elective induction quality (Doyle, Kenny, von Gruenigen, Butz, & Burkett, 2012). The method of this project will be described as one PDSA cycle, although in practice it involved a number of rapid cycles.…”

Section: Quality Improvement Methodsmentioning

confidence: 99%

“…uterine tachysystole (Doyle et al, 2011;Kenny et al, 2013). The FHM review team included six staff nurses, three of which were AWHONN FHM instructors.…”

Section: P R I N C I P L E S and P R A C T I C Ementioning

confidence: 99%

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Nursing Peer Review of Late Deceleration Recognition and Intervention to Improve Patient Safety

Davis

Kenny²,

Doyle³

et al. 2013

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Methodsmentioning

confidence: 99%

Section: Quality Improvement Methodsmentioning

confidence: 99%

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Nursing Peer Review of Late Deceleration Recognition and Intervention to Improve Patient Safety

Davis

Kenny²,

Doyle³

et al. 2013

Journal of Obstetric, Gynecologic & Neonatal Nursing

Self Cite

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“…[ 10 ] Oxytocin use has been the focus of quality improvement and risk management in obstetrical care and safety [ 11 , 12 , 13 ]. Prevention of tachysystole is cited as a nursing goal in the care of laboring mothers [ 14 ]. Our findings coupled with these cited issues support the need for further research into the safe management of oxytocin dosing and tachysystole prevention.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Brachial Plexus Birth Injury

et al. 2018

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Over the course of decades, the incidence of brachial plexus birth injury (BPBI) has increased despite advances in healthcare which would seem to assist in decreasing the rate. The aim of this study is to identify previously unknown risk factors for BPBI and the risk factors with potential to guide preventative measures. A case control study of 52 mothers who had delivered a child with a BPBI injury and 132 mothers who had delivered without BPBI injury was conducted. Univariate, multivariable and logistic regressions identified risk factors and their combinations. The odds of BPBI were 2.5 times higher when oxytocin was used and 3.7 times higher when tachysystole occurred. The odds of BPBI injury are increased when tachysystole and oxytocin occur during the mother’s labor. Logistic regression identified a higher risk for BPBI when more than three of the following variables (>30 lbs gained during the pregnancy, stage 2 labor >61.5 min, mother’s age >26.4 years, tachysystole, or fetal malpresentation) were present in any combination.

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“…The team included representatives from nursing, medicine, administration and scheduling staff. One of the team's first projects was to improve the safety of oxytocin administration (Doyle et al, ). Our core team met every two weeks during the early stage.…”

Section: Methodsmentioning

confidence: 99%