Applying the generic errors modeling system to obstetric hemorrhage quality improvement efforts |
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Authors: | Bingham Debra |
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Institution: | Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), 2000 L Street, NW, Suite 740, Washington, DC 20036, USA. dbingham@awhonn.org |
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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. |
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