Applying the generic errors modeling system to obstetric hemorrhage quality improvement efforts

J Obstet Gynecol Neonatal Nurs. 2012 Jul-Aug;41(4):540-8; quiz 549-50. doi: 10.1111/j.1552-6909.2012.01373.x. Epub 2012 Apr 30.

Abstract

Obstetric hemorrhage is an emergency situation in which clinicians can make errors that cause women to suffer preventable maternal morbidity and mortality. Scrutinizing commonly occurring obstetric hemorrhage-related practice errors by applying the generic errors modeling system, a research-based framework, to quality improvement efforts facilitates the identification of error specific reduction strategies. The common types of errors are skill-based, rule-based, and knowledge-based active and latent errors.

MeSH terms

  • Female
  • Humans
  • Medical Errors / prevention & control*
  • Postpartum Hemorrhage / prevention & control*
  • Pregnancy
  • Process Assessment, Health Care / methods*
  • Quality Improvement*
  • Risk Management / methods*
  • United States