Related Experiment Video
Updated: Dec 31, 2025
11:27
A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
7.2K
Decision-delivery intervals: Impact of a colour code protocol for emergency caesareans
Marine Le Mitouard1, Laurent Gaucher2, Cyril Huissoud3
1Hospices civils de Lyon, Service de Gynécologie-Obstétrique, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69004, Lyon, France.
European Journal of Obstetrics, Gynecology, and Reproductive Biology
|January 14, 2020
Summary
Implementing a simple "colour code" protocol for emergency caesareans significantly reduced the decision-delivery interval (DDI) across all maternity unit levels. This study found no impact on neonatal outcomes despite improved DDI adherence.
Area of Science:
- Obstetrics and Gynecology
- Perinatal Care
- Surgical Safety Protocols
Background:
- The decision-delivery interval (DDI) for emergency caesareans is a critical indicator of care quality.
- Standardized protocols are essential for optimizing emergency obstetric procedures.
Purpose of the Study:
- To evaluate the impact of a distributed "colour code" protocol on emergency caesarean decision-delivery intervals (DDI) and neonatal outcomes.
- To assess adherence to emergency caesarean guidelines across different levels of maternity care.
Main Methods:
- An observational study was conducted across 26 maternity units within the AURORE perinatal network.
- Data from 2017 (post-protocol implementation) were compared with 2007 data for emergency caesareans (code orange and code red).
- DDIs and neonatal outcomes were analyzed based on the degree of emergency, maternity unit level, and protocol adherence.
Main Results:
- The DDI was significantly reduced in 2017 compared to 2007 across all emergency levels and maternity unit types (p < 0.0001).
- In 2017, 100% of "code red" caesareans in level 3 units were performed within 15 minutes, a significant improvement from 73% in 2007.
- Adherence to target DDIs improved substantially, with notable increases in timely caesareans across all unit levels for both "code red" and "code orange" emergencies.
Conclusions:
- The implementation of the "colour code" protocol demonstrably improved the decision-delivery interval for emergency caesareans.
- The protocol led to better adherence to recommended DDI timelines in all participating maternity units.
- No significant changes in neonatal outcomes were observed, irrespective of the DDI or the colour code classification.
Related Concept Videos
01:14SBAR II: Application of SBAR
5.5K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.5K
01:26Types of Reports III: Telephone and Verbal Reports
946
Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
Here's an overview of each type:
Telephone Orders
Here's an overview of each type:
Telephone Orders
946
01:28Imaging Studies for Cardiovascular System V: CT
219
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
219
01:23Methods of Documentation V: CBE
1.3K
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
1.3K
01:26Cardiac Catheterization IV: Nursing Management
561
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
561
01:15Methods of Documentation VI: Case Management Model
810
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
810