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Healthcare Associated Infections II: Preventive Measures

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Levels of Health Promotion and Illness Prevention

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Description of a Swine Infant Model of Volume-Controlled Hemorrhagic Shock
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Published on: November 3, 2023

The road to zero preventable birth injuries.

Frank Mazza1, Judy Kitchens, Mark Akin

  • 1Seton Medical Center Austin, Texas, USA. FMazza@seton.org

Joint Commission Journal on Quality and Patient Safety
|May 13, 2008
PubMed
Summary
This summary is machine-generated.

Implementing new practices in labor and delivery units significantly reduced birth trauma rates. This initiative led to fewer interventions and shorter neonatal intensive care unit stays for injured infants.

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Modeling Ascending Vaginal Infection, Preterm Birth, and Neonatal Morbidity in Mice
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Modeling Ascending Vaginal Infection, Preterm Birth, and Neonatal Morbidity in Mice
04:18

Modeling Ascending Vaginal Infection, Preterm Birth, and Neonatal Morbidity in Mice

Published on: October 10, 2025

Area of Science:

  • Perinatal safety
  • Obstetrics
  • Healthcare quality improvement

Background:

  • The Seton Family of Hospitals previously reported on transformational practices in labor and delivery (L&D) units.
  • These initiatives aimed to reduce birth trauma rates within their facilities.

Purpose of the Study:

  • To report on the sustained impact of perinatal safety efforts.
  • To detail the reduction in birth trauma and associated interventions.

Main Methods:

  • An interdisciplinary team was established in October 2003, involving four hospitals offering obstetrical services.
  • Monthly meetings were held to develop and monitor best practices.
  • Practices were shared, executed, and validated by site-specific perinatal councils.

Main Results:

  • The use of vacuum and forceps decreased from 7.4% to 4.1% (FY 2007-FY 2008).
  • Birth trauma incidence dropped to 0% for the 15 months ending December 31, 2007.
  • Infant length of stay in the neonatal intensive care unit for birth injury decreased by 80% (from 15.8 to 3.1 days) during FY 2004-FY 2006.

Conclusions:

  • The perinatal safety team successfully developed processes leading to significant and lasting reductions in serious birth trauma.
  • These improvements were observed across all obstetric facilities within the Seton Family of Hospitals.