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The Journey to Zero Birth Injury: A Multidisciplinary Team Approach
INNOVATIVE PROGRAMS
Gams, B. L. and Sommerness, S. A.
Proceedings of the 2010 AWHONN Annual Convention
of simulation and the skills of the participants, the team was able to increase the con¢dence and competence of the learners in emergent situations and
increase the communication skills among the members of the perinatal team thus creating a safer environment for the mother and baby.
The Journey to Zero Birth Injury: A Multidisciplinary Team Approach Becky L. Gams, RN, MS, CNP, University of Minnesota Medical Center, Fairview, Minneapolis, MN
Samantha A. Sommerness, RN, MSN, CNM, The Birthplace, Fairview Southdale Hospital, Edina, MN
Professional Issues
Poster Presentation he Zero Birth Injury Initiative is a multidisciplinary team approach taken by Fairview Health Services with the goal to reduce preventable birth injuries to zero. The purpose is to standardize best practices through evidence-based research in obstetric care and promote high reliability teams through teamwork and communication by using in situ simulations. The initiative is supported within the Fairview Health Service infrastructure and championed by the CEO.
T
1. Evidence-based clinical practice and integration into daily clinical practice at six hospitals a. Institute for Healthcare Improvement perinatal bundles
b. Adopted National Institute of Child Health and Human Development language to promote use of common language c. Standardized order sets d. Standardized policy and procedure e. Standardized Induction Plan f. Standardized Patient Education 2. System-wide support infrastructure a. Infrastructure to support the technical side of change and measures b. Attention to the human side of management and cultural change 3. High reliability changed behavior a. In situ simulation b. Team STEPPS c. Just Culture
Taking the First Steps to Professional Development and Evidence-Based Practice Julie A. Gettemeir, MSN, RN, Barnes-Jewish St. Peters Hospital, St. Peters, MO
Professional Issues
Poster Presentation urses continue to be challenged by the demand for continuing education from regulatory bodies, professional organizations, and employers. Lifelong learning involves a commitment from the professional nurse and includes continuing education and evidence-based practice. The Obstetrics unit of this small community hospital averages around 750 deliveries per year, and the sta¡ receives clinical training in caring for antepartum, intrapartum, postpartum, and neonatal patients. The department o¡ers family-centered nursing care in a labor, delivery, recovery, and postpartum (LDRP) setting. With a diverse population of patients, the nursing sta¡ chose to take responsibility
N
JOGNN 2010; Vol. 39, Supplement 1
for their education and professional development to improve patient safety and overall patient care. In 2008, the sta¡ nurses representing the nursery and labor committees for the Obstetrics unit took ownership of their learning needs and developed self-learning educational packets related to various topics in caring for obstetric and neonatal patients. Using evidence-based practice, clinical expertise, and current policy and procedure the committee members developed case studies and presented them to the nursing sta¡ for continuing education. The topics chosen by the nursing sta¡ included amniotic £uid embolism, pregnancy-induced hypertension (PIH), postpartum hemorrhage, sudden
S59
Gams, B. L. and Sommerness, S. A.
Proceedings of the 2010 AWHONN Annual Convention
of simulation and the skills of the participants, the team was able to increase the con¢dence and competence of the learners in emergent situations and
increase the communication skills among the members of the perinatal team thus creating a safer environment for the mother and baby.
The Journey to Zero Birth Injury: A Multidisciplinary Team Approach Becky L. Gams, RN, MS, CNP, University of Minnesota Medical Center, Fairview, Minneapolis, MN
Samantha A. Sommerness, RN, MSN, CNM, The Birthplace, Fairview Southdale Hospital, Edina, MN
Professional Issues
Poster Presentation he Zero Birth Injury Initiative is a multidisciplinary team approach taken by Fairview Health Services with the goal to reduce preventable birth injuries to zero. The purpose is to standardize best practices through evidence-based research in obstetric care and promote high reliability teams through teamwork and communication by using in situ simulations. The initiative is supported within the Fairview Health Service infrastructure and championed by the CEO.
T
1. Evidence-based clinical practice and integration into daily clinical practice at six hospitals a. Institute for Healthcare Improvement perinatal bundles
b. Adopted National Institute of Child Health and Human Development language to promote use of common language c. Standardized order sets d. Standardized policy and procedure e. Standardized Induction Plan f. Standardized Patient Education 2. System-wide support infrastructure a. Infrastructure to support the technical side of change and measures b. Attention to the human side of management and cultural change 3. High reliability changed behavior a. In situ simulation b. Team STEPPS c. Just Culture
Taking the First Steps to Professional Development and Evidence-Based Practice Julie A. Gettemeir, MSN, RN, Barnes-Jewish St. Peters Hospital, St. Peters, MO
Professional Issues
Poster Presentation urses continue to be challenged by the demand for continuing education from regulatory bodies, professional organizations, and employers. Lifelong learning involves a commitment from the professional nurse and includes continuing education and evidence-based practice. The Obstetrics unit of this small community hospital averages around 750 deliveries per year, and the sta¡ receives clinical training in caring for antepartum, intrapartum, postpartum, and neonatal patients. The department o¡ers family-centered nursing care in a labor, delivery, recovery, and postpartum (LDRP) setting. With a diverse population of patients, the nursing sta¡ chose to take responsibility
N
JOGNN 2010; Vol. 39, Supplement 1
for their education and professional development to improve patient safety and overall patient care. In 2008, the sta¡ nurses representing the nursery and labor committees for the Obstetrics unit took ownership of their learning needs and developed self-learning educational packets related to various topics in caring for obstetric and neonatal patients. Using evidence-based practice, clinical expertise, and current policy and procedure the committee members developed case studies and presented them to the nursing sta¡ for continuing education. The topics chosen by the nursing sta¡ included amniotic £uid embolism, pregnancy-induced hypertension (PIH), postpartum hemorrhage, sudden
S59