Risk management and medicolegal issues related to postpartum haemorrhage

Kalpana Upadhyay

Tài liệu tham khảo

2007 2008 Vincent, 2001, Adverse events in British hospitals, BMJ, 322, 517, 10.1136/bmj.322.7285.517 Brace, 2007, Learning from adverse clinical outcomes: major obstetric haemorrhage in Scotland, 2003–2005, BJOG, 114, 1388, 10.1111/j.1471-0528.2007.01533.x Penney G, Brace V. Scottish confidential audit of severe maternal morbidity: first annual report. Scottish Programme for Clinical Effectiveness in Reproductive Health, Aberdeen, 2003. Penney G, Adamson L, Kernaghan D. Confidential audit of severe maternal morbidity: second annual report. Scottish Programme for Clinical Effectiveness in Reproductive Health, Aberdeen, 2004. Penney G, Kernaghan D, Adamson L. Confidential audit of severe maternal morbidity: third annual report. Scottish Programme for Clinical Effectiveness in Reproductive Health, Aberdeen, 2005. Penney G, Adamson L. Confidential audit of severe maternal morbidity: fourth annual report. Scottish Programme for Clinical Effectiveness in Reproductive Health, Aberdeen, 2006. Knight, 2007, Peripartum hysterectomy in the UK: management and outcome of the associated haemorrhage, BJOG, 114, 1380, 10.1111/j.1471-0528.2007.01507.x Neale, 2001, Exploring the causes of adverse events in NHS hospital practice, J R Soc Med, 94, 322, 10.1177/014107680109400702 Stones, 1993, Risk factors for major obstetric haemorrhage, Eur J Obstet Gynecol Reprod Biol, 48, 15, 10.1016/0028-2243(93)90047-G Waterstone, 2001, Incidence and predictors of severe obstetric morbidity: case-control study, BMJ, 322, 7294, 10.1136/bmj.322.7294.1089 Taylor, 2005, Risk of complications in a second pregnancy following caesarean section in the first pregnancy: a population-based study, Med J Aust, 183, 515, 10.5694/j.1326-5377.2005.tb07152.x Healthcare Commission, 2006 Moir, 1932, The action of ergot preparations on the postpartum uterus, Br Med J, 1, 520 Winter, 2007, Variations in policies for management of the third stage of labour and the immediate management of postpartum haemorrhage in Europe, BJOG, 114, 845, 10.1111/j.1471-0528.2007.01377.x Moussa, 2007, Treatment for primary postpartum haemorrhage, Cochrane Database Syst Rev, 10.1002/14651858.CD003249.pub2 Catchpole, 2007, Improving patient safety by identifying latent failures in successful operations, Surgery, 142, 102, 10.1016/j.surg.2007.01.033 Catchpole, 2006, Identification of systems failures in successful paediatric cardiac surgery, Ergonomics, 49, 567, 10.1080/00140130600568865 Helmreich, 2000, On error management: lessons from aviation, BMJ, 320, 781, 10.1136/bmj.320.7237.781 Ammerman, 1998 Reason, 2001, Understanding adverse events: the human factor, 9 Vincent, 2000, How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and risk management protocol, Br Med J, 320, 777, 10.1136/bmj.320.7237.777 Woolf, 2004, A string of mistakes: the importance of cascade analysis in describing, counting and preventing medical errors, Ann Fam Med, 2, 317, 10.1370/afm.126 Roopnarinesingh, 2003, A 27-year review of obstetric hysterectomy, J Obstet Gynaecol, 23, 252, 10.1080/0144361031000098352 Abou Zahr, 2003, Global burden of maternal death Razvi, 1996, A comparison between visual estimation and laboratory determination of blood loss during the third stage of labour, Aust N Z J Obstet Gynaecol, 36, 152, 10.1111/j.1479-828X.1996.tb03273.x Bose, 2006, Improving the accuracy of estimated blood loss at obstetric haemorrhage using clinical reconstructions, BJOG, 113, 919, 10.1111/j.1471-0528.2006.01018.x Clutton-Brock, 2007, Critical care, 238 Rizvi, 2004, Successful reduction of massive postpartum haemorrhage by use of guidelines and staff education, BJOG, 111, 495, 10.1111/j.1471-0528.2004.00103.x RCOG/NPSA. Care bundle for women with previous Caesarean section at risk of a morbidly adherent placenta. London: RCOG, in press. Dellinger, 2004, Surviving sepsis campaign guidelines for management of severe sepsis and septic shock, Crit Care Med, 32, 858, 10.1097/01.CCM.0000117317.18092.E4 Levy, 2004, Sepsis change bundles: converting guidelines into meaningful change in behaviour and clinical outcome, Crit Care Med, 32, S595, 10.1097/01.CCM.0000147016.53607.C4 Gao, 2005, The impact of compliance with 6-hour and 24-hour sepsis bundles on hospital mortality in patients with severe sepsis: a prospective observational study, Crit Care, 9, R764, 10.1186/cc3909 Knowles, 1984 Fry, 2003, Understanding student learning Kolb, 1984 Benjamin, 1964 Birch, 2007, Obstetric skills drills: evaluation of teaching methods, Nurse Educ Today, 27, 915, 10.1016/j.nedt.2007.01.006 Maslovitz, 2007, Recurrent obstetric management mistakes identified by simulation, Obstet Gynecol, 109, 1295, 10.1097/01.AOG.0000265208.16659.c9 Draycott, 2006, Structured team training in obstetrics and its impact on outcome, Fetal Matern Med Rev, 17, 229, 10.1017/S0965539506001793 Scholefield, 2007, Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust, vol. 21, 593 Crofts, 2007, Change in knowledge of midwives and obstetricians following obstetric emergency training: a randomized controlled trial of local hospital, simulation center and teamwork training, BJOG, 114, 1534, 10.1111/j.1471-0528.2007.01493.x Institute for healthcare improvement The Kings Fund, 2008 West, 2005, The influence of team working Sexton, 2000, Error, stress and teamwork in medicine and aviation: cross sectional surveys, BMJ, 320, 745, 10.1136/bmj.320.7237.745 Baskett, 2004, Surgical management of severe obstetric haemorrhage: experience with an obstetric haemorrhage equipment tray, J Obstet Gynaecol Can, 26, 805, 10.1016/S1701-2163(16)30152-9