Adverse events in women giving birth in a labor ward: a retrospective record review study
Abstract Background Childbirth could negatively affect the woman’s health through adverse events. To prevent adverse events and increase patient safety it is important to detect and learn from them. The aim of the study was to describe adverse events, including the preventability and severity of har...
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| Format: | Article |
| Language: | English |
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BMC
2021-10-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-021-07109-5 |
| _version_ | 1818355293624467456 |
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| author | Annika Skoogh Marie Louise Hall-Lord Carina Bååth Ann-Kristin Sandin Bojö |
| author_facet | Annika Skoogh Marie Louise Hall-Lord Carina Bååth Ann-Kristin Sandin Bojö |
| author_sort | Annika Skoogh |
| collection | DOAJ |
| description | Abstract Background Childbirth could negatively affect the woman’s health through adverse events. To prevent adverse events and increase patient safety it is important to detect and learn from them. The aim of the study was to describe adverse events, including the preventability and severity of harm during planned vaginal births, in women giving birth in the labor ward. Methods The study had a descriptive design with a retrospective birth record review to assess the preventability of adverse events using the Swedish version of the Global Trigger Tool. The setting was a labor ward in Sweden with low-risk and risk childbirths. Descriptive statistics, Pearson’s Chi-square test and Student’s t-test were used. Results A total of 38 adverse events (12.2%) were identified in 311 reviewed birth records. Of these, 28 (73.7%) were assessed as preventable. Third- or fourth-degree lacerations and distended urinary bladder were most prevalent together with anesthesia-related adverse events. The majority of the adverse events were classified into the harm categories of ‘prolonged hospital care’ (63.2%) and ‘temporary harm’ (31.6%). No permanent harm were identified, but over two-thirds of the adverse events were assessed as preventable. Conclusions This first study using Global Trigger Tool in a labor ward in Sweden identified a higher incidence of adverse events than previous studies in obstetric care. No permanent patient harm was found, but over two-thirds of the adverse events were assessed as preventable. The results draw particular attention to 3rd-or 4th-degree lacerations, distended urinary bladder and anesthesia-related adverse events. The feedback on identified adverse events should be used for systematic quality improvement and clinical recommendations how to prevent adverse events must be implemented. |
| first_indexed | 2024-12-13T19:39:01Z |
| format | Article |
| id | doaj.art-e05866fce8fb467d93283fb22d36dbdb |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-13T19:39:01Z |
| publishDate | 2021-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-e05866fce8fb467d93283fb22d36dbdb2022-12-21T23:33:44ZengBMCBMC Health Services Research1472-69632021-10-012111810.1186/s12913-021-07109-5Adverse events in women giving birth in a labor ward: a retrospective record review studyAnnika Skoogh0Marie Louise Hall-Lord1Carina Bååth2Ann-Kristin Sandin Bojö3Department of Health Sciences, Faculty of Health, Science and Technology, Karlstad UniversityDepartment of Health Sciences, Faculty of Health, Science and Technology, Karlstad UniversityDepartment of Health Sciences, Faculty of Health, Science and Technology, Karlstad UniversityDepartment of Health Sciences, Faculty of Health, Science and Technology, Karlstad UniversityAbstract Background Childbirth could negatively affect the woman’s health through adverse events. To prevent adverse events and increase patient safety it is important to detect and learn from them. The aim of the study was to describe adverse events, including the preventability and severity of harm during planned vaginal births, in women giving birth in the labor ward. Methods The study had a descriptive design with a retrospective birth record review to assess the preventability of adverse events using the Swedish version of the Global Trigger Tool. The setting was a labor ward in Sweden with low-risk and risk childbirths. Descriptive statistics, Pearson’s Chi-square test and Student’s t-test were used. Results A total of 38 adverse events (12.2%) were identified in 311 reviewed birth records. Of these, 28 (73.7%) were assessed as preventable. Third- or fourth-degree lacerations and distended urinary bladder were most prevalent together with anesthesia-related adverse events. The majority of the adverse events were classified into the harm categories of ‘prolonged hospital care’ (63.2%) and ‘temporary harm’ (31.6%). No permanent harm were identified, but over two-thirds of the adverse events were assessed as preventable. Conclusions This first study using Global Trigger Tool in a labor ward in Sweden identified a higher incidence of adverse events than previous studies in obstetric care. No permanent patient harm was found, but over two-thirds of the adverse events were assessed as preventable. The results draw particular attention to 3rd-or 4th-degree lacerations, distended urinary bladder and anesthesia-related adverse events. The feedback on identified adverse events should be used for systematic quality improvement and clinical recommendations how to prevent adverse events must be implemented.https://doi.org/10.1186/s12913-021-07109-5Adverse eventsChildbirthGlobal trigger toolHarmLaborObstetric care |
| spellingShingle | Annika Skoogh Marie Louise Hall-Lord Carina Bååth Ann-Kristin Sandin Bojö Adverse events in women giving birth in a labor ward: a retrospective record review study BMC Health Services Research Adverse events Childbirth Global trigger tool Harm Labor Obstetric care |
| title | Adverse events in women giving birth in a labor ward: a retrospective record review study |
| title_full | Adverse events in women giving birth in a labor ward: a retrospective record review study |
| title_fullStr | Adverse events in women giving birth in a labor ward: a retrospective record review study |
| title_full_unstemmed | Adverse events in women giving birth in a labor ward: a retrospective record review study |
| title_short | Adverse events in women giving birth in a labor ward: a retrospective record review study |
| title_sort | adverse events in women giving birth in a labor ward a retrospective record review study |
| topic | Adverse events Childbirth Global trigger tool Harm Labor Obstetric care |
| url | https://doi.org/10.1186/s12913-021-07109-5 |
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