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What a Catch: Safety Intervention to Reframe Newborn Falls and Drops
MCN. the American Journal of Maternal Child Nursing
|February 15, 2021
Summary
The What A Catch program reduced newborn drops by promoting safety culture. This initiative involved respite nurseries, visual management, and transparent reporting of near-miss events.
Area of Science:
- Healthcare safety
- Perinatal care
- Risk management
Background:
- High parental fatigue post-childbirth is linked to infant drops and injuries.
- Newborn drops and near-misses are often underreported due to parental emotions.
- Enhancing risk transparency in mother-baby units is crucial for a safety culture.
Purpose of the Study:
- To outline the "What A Catch" program's components and outcomes.
- To prevent newborn drops and manage near-miss events effectively.
Main Methods:
- Implementation of the "What A Catch" program in two mother-baby units.
- Key components included respite nursery, visual management, communication strategies, safe staffing, and success display.
- Data collection focused on near-miss rates and feedback from caregivers and families.
Main Results:
- The program was positively received by perinatal teams at both sites.
- Over one year, 202 near-misses or "good catches" were documented out of 9,578 live births.
- Program leaders actively updated visual management boards weekly.
Conclusions:
- Replication is necessary to confirm if all five program components are essential for optimizing safety culture.
- Further research should identify risk factors for newborn drops and near-misses to enable mitigation strategies.
