Risk Watch (October '25)

Type
Risk Watch

Editor's Note

The October 2025 issue of Risk Watch includes articles on the involvement of patients and families in perinatal and neonatal care settings. 

Hodgson et al. (2025) conducted a systematic review examining infant and parent outcomes, as well as family experiences, associated with family-centered care (FCC) interventions in the Neonatal Intensive Care Unit (NICU). 

Schneiderman et al. (2025) and Waddell et al. (2023) investigate barriers and facilitators to shared decision making (SDM) in perinatal care. Both studies highlight the critical role of using easy-to-understand language, and the need for decision-making models that prioritize families’ values and preferences. 

Lamé (2023) and Gutiérrez et al. (2025) explore the safety of electronic fetal monitoring (EFM) management and the impact of socio-technical processes.

For these articles and resources on workplace violence and other topics, please download Risk Watch below.

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Infant and Family Outcomes and Experiences Related to Family-Centered Care Interventions in the NICU: A Systematic Review 

This systematic review from the United States,(2019-2024) examined both infant and parent outcomes and experiences of family-centered care (FCC) interventions in the Neonatal Intensive Care Unit (NICU), including shared decision-making, education, partnership and communication with parents. 

Hodgson CR, Mehra R, Franck LS. Infant and Family Outcomes and Experiences Related to Family-Centered Care Interventions in the NICU: A Systematic Review. Children (Basel). 2025 Feb 26;12(3):290. doi: 10.3390/children12030290. PMID: 40150573; PMCID: PMC11941216.

Barriers and facilitators to shared decision making: A qualitative study of families who delivered at the cusp of viability

Article from the United States exploring patient perspectives on provider communication during periviability, to improve shared decision making (SDM). 

Schneiderman KS, Henderson AP, Himes KP. Barriers and facilitators to shared decision making: A qualitative study of families who delivered at the cusp of viability. Patient Educ Couns. 2025 Jun;135:108715. doi: 10.1016/j.pec.2025.108715. Epub 2025 Feb 27. PMID: 40048823. 

The Terminology Might Be Ahead of Practice”: Embedding Shared Decision Making in Practice-Barriers and Facilitators to Implementation of SDM in the Context of Maternity Care 

Study from Australia examined organizational and system-level factors affecting implementing policy mandated SDM in maternity care.

Waddell A, Goodwin D, Spassova G, Bragge P. “The Terminology Might Be Ahead of Practice”: Embedding Shared Decision Making in PracticeBarriers and Facilitators to Implementation of SDM in the Context of Maternity Care. MDM Policy Pract. 2023 Sep 22;8(2):23814683231199943. doi: 10.1177/23814683231199943. PMID: 37743932; PMCID: PMC10517621.

Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors /ergonomics and social science analysis 

Lamé et al. examines why intrapartum cardiotocography (CTG) monitoring continues to present safety challenges in UK maternity care. 

Lamé G, Liberati EG, Canham A, Burt J, Hinton L, Draycott T, Winter C, Dakin FH, Richards N, Miller L, Willars J, Dixon-Woods M. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. BMJ Qual Saf. 2024 Mar 25;33(4):246-256. doi: 10.1136/bmjqs-2023-016144. PMID: 37945341; PMCID: PMC10982615. 

Intersectional dynamics and care disparities in intrapartum electronic fetal monitoring: a socio-technical systems perspective 

This qualitative study from the United Kingdom (UK) explored the socio-technical context of electronic fetal monitoring (EFM) management and its impact on care disparities among women from disadvantaged groups. 

Gutiérrez VB, Bozhilova LV, Darko N, Georgieva A, O’Hara K. Intersectional dynamics and care disparities in intrapartum electronic fetal monitoring: a socio-technical systems perspective. BMC Pregnancy Childbirth. 2025 Jun 2;25(1):647. doi: 10.1186/s12884-025-07765-z. PMID: 40457225; PMCID: PMC12128230. 

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This is a resource for quality assurance and risk management purposes only, and is not intended to provide or replace legal or medical advice or reflect standards of care and/or standards of practice of a regulatory body. The information contained in this resource was deemed accurate at the time of publication, however, practices may change without notice.

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