In this section :
- Hospital harm is everyone鈥檚 concern
-
Hospital Harm Improvement Resource
- How to Use the Hospital Harm Measure for Improvement
- Learning from Harm
- General Patient Safety Quality Improvement and Measurement Resources
- Hypoglycemia: Introduction
- Aspiration Pneumonia: Introduction
- Delirium: Introduction
-
Infusion, Transfusion and Injection Complications: Introduction
- Infusion, Transfusion and Injection Complications: Discharge Abstract Database
- Infusion, Transfusion and Injection Complications: Importance to Patients and Families
- Infusion, Transfusion and Injection Complications: Clinical and System Reviews, Incident Analyses
- Infusion, Transfusion and Injection Complications: Measures
- Infusion, Transfusion and Injection Complications: Success Stories
- Infusion, Transfusion and Injection Complications: References
- Medication Incidents: Introduction
- Obstetric Hemorrhage: Introduction
- Patient Trauma: Introduction
- Pneumonia: Introduction
- Pneumothorax: Introduction
-
Post Procedural Infections: Introduction
- Post Procedural Infections: Discharge Abstract Database
- Post Procedural Infections: Importance to Patients and Families
- Post Procedural Infections: Clinical and Systems Reviews, Incident Analyses
- Post Procedural Infections: Measures
- Post Procedural Infections: Success Stories
- Post Procedural Infections: References
- Pressure Ulcer: Introduction
- Sepsis: Introduction
- UTI: Introduction
- Venous Thromboembolism: Introduction
- Wound Disruption: Introduction
- Obstetric Trauma: Introduction
-
Procedure-Associated Shock: Introduction
- Procedure-Associated Shock: Discharge Abstract Database
- Procedure-Associated Shock: Importance to Patients and Families
- Procedure-Associated Shock: Clinical and System Review, Incident Analysis
- Procedure-Associated Shock: Measures
- Procedure-Associated Shock: Success Stories
- Procedure-Associated Shock: References
- Selected Serious Events: Introduction
-
Electrolyte and Fluid Imbalance: Introduction
- Electrolyte and Fluid Imbalance: Discharge Abstract Database
- Electrolyte and Fluid Imbalance: Importance to Patients and Families
- Electrolyte and Fluid Imbalance: Clinical and System Reviews, Incident Analyses
- Electrolyte and Fluid Imbalance: Measures
- Electrolyte and Fluid Imbalance: Success Stories
- Electrolyte and Fluid Imbalance: References
-
Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Introduction
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Discharge Abstract Database
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Importance to Patients and Families
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Clinical and System Reviews, Incident Analyses
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Measures
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): Success Stories
- Anemia 鈥� Hemorrhage (Health Care / Medication Associated Condition): References
-
Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Introduction
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Discharge Abstract Database
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Importance to Patients and Families
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Clinical and System Reviews, Incident Analyses
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Measures
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): Success Stories
- Anemia 鈥� Hemorrhage (Procedure-Associated Conditions): References
-
Birth Trauma: Introduction
- Birth Trauma: Discharge Abstract Database
- Birth Trauma: Importance To Patients And Families
- Birth Trauma: Clinical and System Reviews, Incident Analyses
- Birth Trauma: Measures
- Birth Trauma: Success Stories
- Birth Trauma: References
- Device Failure: Introduction
-
Infections due to Clostridium difficile, MRSA or VRE: Introduction
- Infections due to Clostridium difficile, MRSA or VRE: Discharge Abstract Database
- Infections due to Clostridium difficile, MRSA or VRE: Importance to Patients and Families
- Infections due to Clostridium difficile, MRSA or VRE: Surveillance, Outbreak Management
- Infections due to Clostridium difficile, MRSA or VRE: Clinical and System Reviews, Incident Analyses
- Infections due to Clostridium difficile, MRSA or VRE: Measures
- Infections due to Clostridium difficile, MRSA or VRE: Success Stories
- Infections due to Clostridium difficile, MRSA or VRE: References
- Laceration: Introduction
- Retained Foreign Body: Introduction
-
Viral Gastroenteritis: Introduction
- Viral Gastroenteritis: Discharge Abstract Database
- Viral Gastroenteritis: Importance to Patients and Families
- Viral Gastroenteritis: Surveillance, Outbreak Management
- Viral Gastroenteritis: Clinical and System Reviews, Incident Analyses
- Viral Gastroenteritis: Measures
- Viral Gastroenteritis: Success Stories
- Viral Gastroenteritis: References
Birth Trauma: Clinical and System Reviews, Incident Analyses
Given the broad range of potential causes of Birth Trauma, clinical and system reviews should be conducted to identify latent causes and determine appropriate recommendations.
Occurrences of harm are often complex with many contributing factors. Organizations need to:
- Measure and monitor the types and frequency of these occurrences.
- Use appropriate analytical methods to understand the contributing factors.
- Identify and implement solutions or interventions that are designed to prevent recurrence and reduce risk of harm.
- Have mechanisms in place to mitigate consequences of harm when it occurs.
To develop a more in-depth understanding of the care delivered to patients, chart audits, incident analyses and prospective analyses can be helpful in identifying quality improvement opportunities. Links to key resources for听conducting chart audits听补苍诲听analysis methods听are included in听the听Hospital Harm Improvement Resource Introduction.
Chart audits are recommended as a means to develop a more in-depth understanding of the care delivered to patients identified by the HHI. Chart audits help identify quality improvement opportunities.
If your review reveals that your cases of birth trauma are linked to specific processes or procedures, you may find these resources helpful:
- Association of Ontario Midwives听
- Corey J, MacDonald T.听Management of the Uncomplicated Pregnancy Beyond 41+0 Weeks Gestation. Association of Ontario Midwives; 2010.
- British Medical Journal Open听
- Coroneos CJ, Voineskos SH, Christakis MK, Thoma A, Bain JR, Brouwers MC. Obstetrical brachial plexus injury (OBPI): Canada's national clinical practice guideline. BMJ Open. 2017;7(1):e014141. doi:
- Cureus Journal of Medical Science听
- Ojumah N, Ramdhan RC, Wilson C, Loukas M, Oskouian RJ, Tubbs RS. Neurological Neonatal Birth Injuries: A Literature Review. Cureus. 2017;9(12):e1938. doi:
- Fanaroff & Martin's Neonatal-Perinatal Medicine Eleventh Edition
- Prazad PA, Rajpal MN, Mangurten HH, Puppala BL. Birth Injuries. In: Fanaroff and Martin's Neonatal-Perinatal Medicine. 11th ed. Chapter 29. Elsevier; 2020:458-488
- HIROC听
- Healthcare Insurance Reciprocal of Canada. Assisted Vaginal Deliveries. HIROC Risk Reference Sheets. Published September 2020.听
- Healthcare Insurance Reciprocal of Canada. Shoulder Dystocia. HIROC Risk Reference Sheets. Published 2020.
- Journal of Obstetrics and Gynecology of Canada听
- Hobson S, Cassell K, Windrim R, Cargill Y. No. 381-Assisted Vaginal Birth. Journal of Obstetrics and Gynaecology Canada. 2019;41(6):870-882. doi:
- Kotaska A, Menticoglou S. No. 384-Management of breech presentation at term. J Obstet Gynaecol Can. 2019;41(8):1193 1205. doi:
- Lefebvre G, Calder LA, De Gorter R, Bowman CL, Bell D, Bow M. Recommendations from a national panel on quality improvement in obstetrics. Journal of Obstetrics and Gynaecology Canada. 2019; 41(5):653-659. doi:
- Bloch C, Dore S, Hobson S. Committee Opinion No. 415: Impacted fetal head, second-stage cesarean delivery. Journal of Obstetrics and Gynaecology Canada. 2021;43(3):406-413. doi:
- Berger H, Gagnon R, Sermer M. Guideline No. 393-Diabetes in pregnancy. Journal of Obstetrics and Gynaecology Canada. 2019;41(12):1814-1825.e1. doi:
- Journal of Perinatal and Neonatal Nursing
- Pressler JL. Classification of Major Newborn Birth Injuries.听The Journal of Perinatal & Neonatal Nursing. 2008;22(1).
- Merck Manual
- Stavis RL. Birth Injuries. Merck Manuals Professional Edition. Published July 2019. Accessed March 2021.
- MOREOB听
- Pediatrics in Review听
- Akangire G, Carter B. Birth Injuries in Neonates.听Pediatr Rev听2016;37(11):451. doi:
- Salus Global听
- Society of Obstetricians and Gynecologists of Canada听
听
Birth Trauma
