Document Detail


Oxytocin, excessive uterine activity, and patient safety: time for a collaborative approach.
MedLine Citation:
PMID:  19209060     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Oxytocin use for induction or augmentation of labor is a common occurrence in labor and delivery, as well as a common source of conflict between obstetric providers and nurses. Allegations regarding inappropriate oxytocin use and excessive uterine activity arise in obstetric litigation in both the United States and abroad, and oxytocin was recently added to the Institute for Safe Medical Practices list of high-alert medications, making oxytocin administration a significant risk management issue. Current efforts at standardization of terminology related to uterine activity, recent research on the relationship of excessive uterine activity to fetal oxygenation and outcome, and clinical success with adoption of standardized oxytocin administration provide clinicians with evidence to create a structured, collaborative approach to oxytocin administration in labor. This article provides a brief overview of relevant literature and suggests strategies for the implementation of such a collaborative approach.
Authors:
Lisa A Miller
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of perinatal & neonatal nursing     Volume:  23     ISSN:  1550-5073     ISO Abbreviation:  J Perinat Neonatal Nurs     Publication Date:    2009 Jan-Mar
Date Detail:
Created Date:  2009-02-11     Completed Date:  2009-05-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801387     Medline TA:  J Perinat Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  52-8     Citation Subset:  N    
Affiliation:
Perinatal Risk Management and Education Services, St Anthony Hospital, Chicago, Illinois 60618, USA. LisaCNM@comcast.net
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MeSH Terms
Descriptor/Qualifier:
Adult
Evidence-Based Medicine*
Female
Humans
Labor, Induced / adverse effects*,  nursing
Medical Errors / prevention & control
Neonatal Nursing / organization & administration*
Oxytocics / adverse effects
Oxytocin / administration & dosage,  adverse effects*
Physician-Nurse Relations
Pregnancy
Risk Management / organization & administration
Safety Management / organization & administration*
Total Quality Management / organization & administration
Uterine Contraction* / drug effects
Chemical
Reg. No./Substance:
0/Oxytocics; 50-56-6/Oxytocin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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