Perinatal Patient Safety Project: a multicenter approach to improve performance reliability at Kaiser Permanente

J Perinat Neonatal Nurs. 2005 Jan-Mar;19(1):37-45. doi: 10.1097/00005237-200501000-00010.


High-reliability organizations, including high-reliability perinatal units, are built on a solid foundation of timely communication and collegial teamwork to maintain patient safety as a top priority. In these units, concise, real-time, and constant communication is valued. Teamwork and collegiality characterize the professional relationships and hierarchy is minimized. The Perinatal Patient Safety Project utilized human factors techniques and systems improvements to create high-reliability perinatal units within a 1-year pilot project. This article focuses on the approaches used to improve communication in 4 Kaiser Permanente medical centers participating in this project.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • California
  • Communication
  • Female
  • Humans
  • Interprofessional Relations
  • Managed Care Programs / organization & administration*
  • Multicenter Studies as Topic
  • Organizational Culture
  • Patient Care Team / organization & administration
  • Perinatal Care / organization & administration*
  • Pregnancy
  • Program Development / methods*
  • Program Evaluation
  • Quality Assurance, Health Care / methods*
  • Staff Development / methods