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Preventing OB  Adverse Events Preventing OB  Adverse Events

Preventing OB Adverse Events - PowerPoint Presentation

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Uploaded On 2019-12-05

Preventing OB Adverse Events - PPT Presentation

Preventing OB Adverse Events Expedition Team Storyboard Team Storyboard Explanation Intent use this as an active tool over the program to describe your work plan and improvements ID: 769242

improvement team oxytocin standard team improvement standard oxytocin fetal goals monitoring storyboard strip system reviews journey model question answers

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Preventing OB Adverse Events ExpeditionTeam Storyboard Team:______________

Storyboard ExplanationIntent: use this as an active tool over the program to describe your work plan and improvements - successes and barriers - and share your learning. Although you may not have all of the measures currently in place, we have included all of them in this template. “ Building” storyboard: as you create the infrastructure to achieve your aim, you will continuously expand this template to share your journey. See notes on each slide for description of content.

Facility DescriptionDemographicsSystem characteristicsPicture

Who is on Your Team?

Team Picture

Structure Yes No N/A % Yes 1. Interdisciplinary Fetal Monitoring Education 2. Documentation tools consistent with NICD terminology 3.Weekly fetal monitoring strip and case reviews (or (#4) 4. Monthly fetal monitoring strip and case reviews 5. Standard mixture and policy for oxytocin administration6. One standard administration order set7. If provider opts out of standard order set, system in place to identify and address when standardized dosage is not followed. 8. Team definition for tachysystole9. Clinical algorithm for identification and management of tachysystole10. Clinical algorithm for management of indeterminate/abnormal FHR patterns (NICHD 2009)11. RN empowered to call cesarean team (not to diagnose the need for cesarean, but to activate the team)12. RN empowered to call neonatal team13. Consistent handoff tool {SBAR, etc} specify14. Informed Consent for oxytocin administration15. Individual Provider data published about induction/augmentation rates? One Team’s Experience

Journey to your AIM…

Aim TemplateThe (name of your specific project/team) ________________ ________________________________________________ intends to accomplish (This is a general over arching statement describing what you intend to improve. It also includes the areas you have targeted for change- harm, oxytocin use, patient centered care, etc. It answers the first question of the Model for Improvement.) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________by (time frame, ie, month/year in which you intend to accomplish improvement)________________________________________________________________for (what group are you doing this for – who is the customer- internal or external)________________________________________________________________because ( the rational and reasons to work on this improvement project)___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Our goals include: (Answers the second question of the Model for Improvement. Here they are stated as numeric goals – usually ambitious goals to stretch the system)      

Tests of Change

Final Word