Shoulder dystocia documentation: an evaluation of a documentation training intervention.

Objective: To evaluate the quality and content of nurse and physician shoulder dystocia delivery documentation before and after MORE training in shoulder dystocia management skills and documentation.

Methods: Approximately 384 charts at the Ottawa Hospital General Campus involving a diagnosis of shoulder dystocia between the years of 2000 and 2006 excluding the training year of 2003 were identified. The charts were evaluated for 14 key components derived from a validated instrument.

A prospective study of the efficiency of the "code 333" process at the Ottawa hospital.

Objective: This study evaluated the efficiency of the "Code 333" process at The Ottawa Hospital (TOH) during obstetric emergencies. A Code 333 is an overhead call made in TOH obstetrics units to activate an emergency response system. The code calls for resuscitative measures on a mother and/or a fetus and expedited delivery of a fetus considered at high risk of demise.

The Ottawa hospital quality incident notification system for capturing adverse events in obstetrics.

Objective: To describe the design and implementation of a Quality Incident Notification (QIN) system in an obstetrical unit and provide an analysis of the frequency and nature of events captured by the system.

Methods: We implemented a system to capture quality events, consisting of an on-line form that was easily accessible to all levels of staff. A list of quality indicators was developed to indicate potential safety concerns, near misses, or poor outcomes that required closer scrutiny.

Placenta previa: its relationship with race and the country of origin among Asian women.

Objectives: To examine the association between placenta previa with maternal race and its variations by country of origin among Asian women.

Study Design: Retrospective cohort study.

Methods: We analyzed data from a population-based retrospective cohort study of 16,751,627 pregnancies in the US.

Adverse events detected by clinical surveillance on an obstetric service.

Objective: Adverse events are adverse patient outcomes resulting from medical care. We performed this study to estimate the rate of adverse events and potential adverse events-errors that have a high likelihood of causing patient harm-occurring during obstetric care.

Methods: This was a prospective cohort study of an obstetric unit in a teaching hospital.

Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital.

Background: Adverse events are poor patient outcomes that are due to medical care. Studies of hospital patients have demonstrated that adverse events are common, but few data describe the timing of them in relation to hospital admission. We evaluated characteristics of adverse events affecting patients admitted to a Canadian teaching hospital, paying particular attention to timing.