Nursing Peer Review of Late Deceleration Recognition and Intervention to Improve Patient Safety

摘要

We describe a nurse peer-review process to improve late deceleration recognition and intervention on one labor and delivery unit. Monthly chart audits (n = 721) met the goal of 75% reviewer agreement after the 4th month of implementation and have been maintained to date. Nurses recognized for excellence were more likely to be certified, work day shift, or be a member of the Perinatal Safety Team. Institutional support, a dedicated review team, and education contributed to success. ? 2013 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.