Greasing the Machinery to Move the Needle: Cesarean Overuse and the Culture of Care скачать в хорошем качестве

Greasing the Machinery to Move the Needle: Cesarean Overuse and the Culture of Care

Organizational culture has been shown to be a key element in reducing variation in hospital outcomes in other clinical areas; and, underscoring its importance, the national safety bundle addressing cesarean overuse charges hospitals to “develop a unit culture that supports vaginal birth.” Based on data collected during California’s initiative, a 1-point improvement in unit culture supportive of vaginal birth would convert 331,773 cesarean deliveries or 27% of US cesarean births and 9% of all US births each year to vaginal deliveries and the low-risk, primary cesarean rate would decrease from 28% to 19%, thus achieving the Healthy People 2020 goal and improving maternal and newborn morbidity and mortality. But how can we change unit culture? This presentation will focus on the key elements of unit culture that have been shown to be associated with achievement of lower cesarean rates in other states, and review how to use information about your own unit culture to work towards change. Emily White VanGompel, MD, MPH (Program Director, NorthShore Outcomes Research Network Clinical and Assistant Professor, University of Chicago Pritzker School of Medicine) will share her insight with our PROVIDE teams on this not-to-be-missed webinar. Visit www.fpqc.org/PROVIDE for more information about reducing NTSV cesareans in your unit. #PROVIDE #Cesarean #QualityImprovement