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Clinical risk management in obstetrics.
Deborah A Holden1, Maureen Quin, Des P Holden
1Maternity Unit, Brighton and Sussex University Hospitals NHS Trust, Royal Sussex County Hospital, Brighton, UK.
Current Opinion in Obstetrics & Gynecology
|March 17, 2004
Summary
Applying industrial risk management principles to maternity care can reduce adverse events. This review examines error classification, identification, and analysis, emphasizing a supportive environment for learning from patient safety incidents.
Area of Science:
- Healthcare Management
- Patient Safety
- Risk Management in Obstetrics
Background:
- Growing awareness of adverse events in healthcare.
- Limited research in patient safety and risk management.
- High costs and impact of adverse outcomes in obstetrics.
Purpose of the Study:
- To review clinical risk management in maternity care.
- To explore applying industrial risk management principles to healthcare.
- To examine error classification, identification, and analysis in obstetrics.
Main Methods:
- Review of risk management principles from industry.
- Classification of errors into individual and latent/organizational.
- Analysis of error identification and reporting mechanisms.
- Case examples from UK and USA maternity units.
Main Results:
- Appropriateness of industrial risk management in maternity explored.
- Individual vs. latent (organizational) errors examined.
- Methods for identifying and analyzing errors discussed.
- Importance of a supportive, non-blame culture for incident reporting stressed.
Conclusions:
- Reducing adverse events is crucial for improving patient experience.
- Prospective and retrospective risk identification principles considered.
- Mechanisms for local, regional, and national risk management and learning evaluated.