RT Book, Section
A1 Hernandez, Josephine M.
A1 Craft, Susan
A1 Guarino, Janet C.
A2 Hess, Philip E.
A2 Li, Yunping
A2 Kowalczyk, John J.
A2 Stiles, Justin K.
SR Print(0)
ID 1199673786
T1 Contingency Team
T2 Obstetric Anesthesia: Quick References & Practical Guides
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264671465
LK obgyn.mhmedical.com/content.aspx?aid=1199673786
RD 2024/04/24
AB In  1999,  the  Institute  of  Medicine  estimated  that  medical  errors  accounted  for  up  to  98,000  deaths  each  year  in  the  United  States,1  with  the  Joint  Commission  reporting  that  over  70%  of  adverse  obstetric  outcomes  were  due  to  failures  in  teamwork  and  communication.2  In  2001,  the  Beth  Israel  Deaconess  Medical  Center  (BIDMC)  Department  of  Obstetrics  and  Gynecology  teamed  up  with  the  Department  of  Defense  and  the  Risk  Management  Foundation  to  develop  a  Crew  Management  Resource  (CMR)  team-based  training  curriculum  in  Obstetrics.  The  Labor  and  Delivery  Unit  was  the  first  in  obstetrics  and  one  of  the  first  in  healthcare  to  apply  CMR  to  clinical  medicine.  When  BIDMC  later  reviewed  its  own  Adverse  Outcome  Index  (AOI)  and  Weighted  Adverse  Outcome  Score  (WAOS)  data  prior  to  this  new  CMR  curriculum  and  training  (from  1999  to  2001)  and  after  CRM  implementation  (from  2003  to  2006),  they  found  a  23%  decrease  in  AOI  and  a  33.2%  decrease  in  WAOS.  That  translates  to  300  fewer  women  who  experienced  adverse  events  after  CMR  team  training  was  implemented.3