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Showing results for tags 'Obstetrics and gynaecology/ Maternity'.
Found 399 results
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Content ArticleThis is a case study by NHS Resolution into recognising and avoiding significant maternal and neonatal hyponatraemia.
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Content ArticleThis case story is based on real events and NHS Resolution is sharing the experience to improve the quality of care provided to all patients, families and staff. This case study is around management of suspected maternal sepsis.
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Content ArticleThis leaflet draws attention to the number and cost of pressure ulcers suffered by women in maternity units. It provides information on common themes, their impact and what you can do to prevent them.
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Content ArticleThis report by NHS Resolution provides an in-depth examination of these rare but tragic incidents and the investigations that follow them. For the purposes of this study they focused on 50 cases of cerebral palsy where the incidents occurred between 2012 and 2016 and a legal liability has been established. Working in partnership with other organisations, including the Royal College of Obstetricians and Gynaecologists, the Royal College of Midwives, NHS England and NHS Improvement, NHS Resolution have highlighted areas for improvement and made clear recommendations to help trusts prevent further incidents. The study draws upon the unique data set NHS Resolution holds to address two key areas for improvement: training to prevent future incidents and the quality of serious incident investigations.
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Content ArticleThis case story is based on real events; NHS Resolution is sharing the experience of those involved to help prevent a similar occurrence happening to patients, families and staff.
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Content ArticleThis improvement resource set out by the National Quality Board is to help standardise safe, sustainable and productive staffing decisions in maternity services. This is an improvement resource to support staffing in maternity settings. It describes the principles for safe maternity staffing across the multiprofessional team to ensure women and their families receive joined-up care appropriate to their needs and wishes. The purpose of this resource is to help providers of NHS-commissioned services, boards and executive directors to support their head/director of midwifery and other lead professionals in implementing safe staffing for maternity settings. NHS provider boards are accountable for ensuring their organisation has the right culture, leadership and skills for safe, sustainable and productive staffing.
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Content ArticleA three-year programme launched in February 2017 to support improvement in the quality and safety of maternity and neonatal units across England - formerly known as the Maternal and Neonatal Health Safety Collaborative. NHS Improvement aim to: improve the safety and outcomes of maternal and neonatal care by reducing unwarranted variation and provide a high quality healthcare experience for all women, babies and families across maternity and neonatal care settings in England contribute to the national ambition, set out in Better Birthsopens in a new window of reducing the rates of maternal and neonatal deaths, stillbirths, and brain injuries that occur during or soon after birth by 20% by 2020.
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Content ArticleToolkit for improving perinatal safety helps hospital labour and delivery units in the US improve patient safety, team communication, and quality of care for mothers and their newborns with an aim of decreasing maternal and neonatal adverse events resulting from poor communication and system failures.
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Content ArticleThe neonatal practice development nurse and infant feeding midwife at Bedford Hospital NHS Trust led a programme of work to adopt and implement the ‘RAPP’ (Respirations, Activity, Perfusion, Position/Tone) tool in their maternity unit. This programme led to improved outcomes for new-born babies in the unit.
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Content ArticleThe Midwifery Matrons at Northampton General Hospital NHS Trust (NGHT) led on service development to address unwarranted variation in practices identified in complaints being made to the midwifery team. This has led to improved experiences and better use of resources within the Trust.
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Content ArticleThe findings of an independent investigation established to review the management, delivery and outcomes of care provided by the maternity and neonatal services of the University Hospitals of Morecambe Bay NHS Foundation Trust between January 2004 and June 2013.
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Content ArticleThis framework from NHS Improvement provides a structure for maternity units to create and develop their own approach to effectively communicating clinical data and transferring key safety information. It is intended as a good practice guide for healthcare professionals involved in the care of pregnant women and their infants, regardless of the nature of the unit they work in or whether it is in the community or a hospital. It recognises that each unit will have its own culture and ways of working.
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Content ArticleIn 2015, the Royal College of Obstetricians and Gynaecologists established the Safer Women’s Health Care working party to identify the workforce and service standards needed to deliver safe, high-quality maternity and gynaecological care. This report is the output of the multi-disciplinary maternity standards work stream. It sets out a framework for commissioners and service providers of high-level maternity service standards that aim to improve outcomes and reduce variation in maternity care. There is also an accompanying framework for gynaecology services.
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Content ArticleLatest update of the Care Quality Commission's 'Inspection framework: Maternity Framework (Acute, community, independent)'.
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Content ArticleThis report from NHS England on the National Maternity Review sets out a vision for the planning, design and safe delivery of maternity services; how women, babies and families will be able to get the type of care they want; and how staff will be supported to deliver such care.
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Content ArticleInfographic summarising the key messages from the MBRRACE-UK 2018 report 'Saving Lives, Improving Mothers’ Care'.
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Content ArticleThe risks of accidentally dropping a baby are well known, particularly when a parent falls asleep while holding a baby; or when a parent or healthcare worker holding the baby slips, trips or falls. However, despite healthcare staff routinely using a range of approaches to make handling of babies as safe as possible, and advising new parents on how to safely feed, carry and change their babies, on rare occasions babies are accidentally dropped. This safety alert was issued after a consultant neonatologist raised concerns about an increase in the number of accidentally dropped babies in his organisation. A search of the National Reporting and Learning System (NRLS) for a recent 12 month period identified; 182 babies who had been accidentally dropped in obstetric/ midwifery inpatient settings (eight with significant reported injuries, including fractured skulls and/or intracranial bleeds), 66 babies accidentally dropped on paediatric wards, and two in mother and baby units in mental health trusts. Almost all of these 250 incidents occurred when the baby was in the care of parents or visiting family members.
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Content Article
Each Baby Counts (RCOG, 2019)
Patient Safety Learning posted an article in Maternity
Each Baby Counts is the Royal College of Obstetricians and Gynaecologists (ROCG's) national quality improvement programme to reduce the number of babies who die or are left severely disabled as a result of incidents occurring during term labour. -
Content ArticleThis document is the second version of the Saving Babies’ Lives Care Bundle, which has been produced by NHS England to help reduce perinatal mortality across England. The second version of the care bundle brings together five elements of care that are widely recognised as evidence-based and/or best practice: reducing smoking in pregnancy, risk assessment, prevention and surveillance of pregnancies at risk of fetal growth restriction; raising awareness of reduced fetal movement; effective fetal monitoring during labour; reducing preterm birth.
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Content ArticleA guide produced by NHS Improvement to support maternity safety champions. Maternity safety champions play a central role in ensuring that mothers and babies continue to receive the safest care possible by adopting best practice. This guide outlines the role and responsibilities of maternity safety champions and suggests activities to promote best practice.
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Content ArticleFourth MBRRACE-UK Perinatal Mortality Surveillance Report providing information on UK perinatal deaths for births from January to December 2016. The report focuses on the surveillance of all late fetal losses (22+0 to 23+6 weeks gestational age), stillbirths and neonatal deaths, with data presented by country, by geographical area, by health care provider and by Local Authority.
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Content ArticleThe London Maternity Strategic Clinical Network (SCN), in collaboration with Nutshell Communications and hospitals in the London region, has delivered a number of "Whose Shoes?" user experience workshops for healthcare professionals, commissioners and users, to explore local concerns, challenges and opportunities, focusing on service improvement. This document provides 11 case studies which illustrate some of the outcomes from the trusts who have to date taken part in the workshops.
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Content Article
WHO Safe Childbirth Checklist (December 2015)
Patient Safety Learning posted an article in WHO
Of the more than 130 million births occurring each year, an estimated 303 000 result in the mother’s death, 2.6 million in stillbirth, and another 2.7 million in a newborn death within the first 28 days of birth. The majority of these deaths occur in low-resource settings and most could be prevented. The World Health Organization (WHO) has produced a safe birth checklist. -
Content ArticleThis NICE guideline covers diagnosing and managing endometriosis. It aims to raise awareness of the symptoms of endometriosis, and to provide clear advice on what action to take when women with signs and symptoms first present in healthcare settings. It also provides advice on the range of treatments available.
