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Sentinel Event Alert #30 - Prevention of Infant Death and Injury During Delivery



Manual: Sentinel Event Solutions Resource Manual (Ver 3)

This customizable document, Sentinel Event Alert #30 - Prevention of Infant Death and Injury During Delivery, is taken from MCN Healthcare's Sentinel Event Solutions Resource Manual. For more than 20 years, MCN has been the health care industry's leading provider of policy and procedure templates, forms, competencies and other compliance tools.

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Here is some sample content from Sentinel Event Alert #30 - Prevention of Infant Death and Injury During Delivery:

     SENTINEL EVENT ALERT #30 PREVENTION OF INFANT DEATH AND INJURY DURING DELIVERY Issue:Prevention of Infant Death and Injury During Delivery The Joint Commission has cited multiple factors leading to infant death and injury during delivery. These include: Communication issues organization culture as a barrier to effective communication Hierarchy and intimidation Failure to function as a team Failure to follow the chain of communication Staff competency Orientation and training process Inadequate fetal monitoring Unavailable monitoring equipment and/or drugs ...
Second excerpt:
     ...delivery process that contribute to perinatal injury and death: Non-reassuring fetal status Placental abruption Ruptured uterus Breech presentation The following maternal risk factors relating to perinatal injury and death which an organization has much less control over than the other key factors listed above include: Lack of prenatal care Age Previous C-section Diabetes Substance abuse JOINT COMMISSION RECOMMENDATIONS: Conduct team training in perinatal areas to teach staff to...


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