Identifying Potentially Preventable Elements in Severe Adverse Maternal Events.

Area of Science:

• Nursing Research
• Patient Safety
• Healthcare Quality Improvement

Background:

• Adverse outcomes in pregnancy require thorough investigation.
• Nurse perceptions of adverse events are vital for understanding patient care.
• Current medical records may not capture essential experiential data.

Purpose of the Study:

• To describe a novel tool for capturing nurse perceptions of adverse pregnancy events.
• To highlight the importance of experiential data in patient safety.
• To identify opportunities for improving healthcare systems and practices.

Main Methods:

• Development of a specialized tool to record nurse experiences.
• Focus on capturing subjective perceptions related to adverse pregnancy events.
• Integration of qualitative data into adverse event analysis.

Main Results:

• The tool effectively captures nurse perceptions and experiences.
• Identified gaps in standard medical record documentation.
• Highlighted the potential impact of nurse insights on patient outcomes.

Conclusions:

• Capturing nurse perceptions is essential for a comprehensive understanding of adverse pregnancy events.
• The developed tool offers a method to gather critical experiential data.
• Findings can inform system and practice improvements to enhance maternal healthcare quality and safety.