Qual Saf Health Care
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Qual Saf Health Care · Oct 2009
Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Teamwork and communication have been identified as root causes of sentinel events involving infant death and injury during delivery. However, despite the emphasis on team training as a way to improve maternal and fetal safety outcomes, valid and reliable markers of obstetrical team performance are not available to assess curricular efficacy. ⋯ Feedback regarding usability suggests that the AOTP allows for an accurate reflection of raters' assessments of the performance of the team, and as a whole, it is comprehensive, quick and easy to use. Studies are underway to establish the validity and reliability of the AOTP and GAOTP.
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Qual Saf Health Care · Oct 2009
Meta AnalysisImproving the use of venous thromboembolism prophylaxis in an Australian teaching hospital.
Hospital-acquired venous thromboembolism (VTE) is a potentially fatal complication of hospitalisation, with meta-analyses and guidelines supporting the use of proven prophylactic measures (graduated compression stockings (GCS) and anticoagulants). Despite this, prophylaxis is underutilised and represents one of the largest gaps between evidence and current clinical practice. ⋯ Affordable and accessible interventions can improve the application of VTE prophylaxis guidelines into daily hospital care and are associated with reductions in this potentially life-threatening complication.