Confronting safety gaps across labor and delivery teams

David G. Maxfield, Audrey Lyndon, Holly Powell Kennedy, Daniel F. O'Keeffe, Marya G. Zlatnik

Research output: Contribution to journalReview article

Abstract

We assessed the occurrence of 4 safety concerns among labor and delivery teams: dangerous shortcuts, missing competencies, disrespect, and performance problems. A total of 3282 participants completed surveys, and 92% of physicians (906 of 985), 93% of midwives (385 of 414), and 98% of nurses (1846 of 1884) observed at least 1 concern within the preceding year. A majority of respondents said these concerns undermined patient safety, harmed patients, or led them to seriously consider transferring or leaving their positions. Only 9% of physicians, 13% of midwives, and 13% of nurses shared their full concerns with the person involved. Organizational silence is evident within labor-and-delivery teams. Improvement will require multiple strategies, used at the personal, social, and structural levels.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume209
Issue number5
DOIs
StatePublished - Jan 1 2013

Fingerprint

Physicians
Nurse Midwives
Safety
Midwifery
Patient Safety
Nurses
Surveys and Questionnaires

Keywords

  • communication
  • organizational silence
  • patient safety
  • psychological safety

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Confronting safety gaps across labor and delivery teams. / Maxfield, David G.; Lyndon, Audrey; Kennedy, Holly Powell; O'Keeffe, Daniel F.; Zlatnik, Marya G.

In: American Journal of Obstetrics and Gynecology, Vol. 209, No. 5, 01.01.2013.

Research output: Contribution to journalReview article

Maxfield, David G. ; Lyndon, Audrey ; Kennedy, Holly Powell ; O'Keeffe, Daniel F. ; Zlatnik, Marya G. / Confronting safety gaps across labor and delivery teams. In: American Journal of Obstetrics and Gynecology. 2013 ; Vol. 209, No. 5.
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