REDESIGN HEALTHCARE

CAPE Sims Designing for Safety in Labor & Delivery 2016

Delayed Cord Clamping

Placental Abruption

Well-Baby Resuscitation

Communication Snafu Scenario 1

Problems:
• Intimidation on the part of the nurse with the nurse-physician hierarchy, and hesitancy to speak up.

• Physicians are task saturated/fixated in some cases

• Not following an established protocol which may be due to: 1) lack of awareness of the protocol, 2) above 2 issues of intimidation or task saturation, 3) poor implementation.

Communication Snafu Scenario 2

Problems:
• Lack of agreement amongst team and how to resolve in presence of patient

• Handoff of information between obstetrics and pediatrics

• Communication of clinical course to patient (and parents)

• Maintaining appropriate conversation for teamwork while being mindful of patient.