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Displaying 1 - 10 of 19

Risk Reference Sheets

Care

Obstetrics

Mismanagement of Assisted Vaginal Birth

The application of forceps or vacuum during the second stage of labour is intended to expedite spontaneous vaginal birth. Performed by trained, skilled, and experienced practitioners…

Risk Reference Sheets

Care

Airway Management

Airway Mismanagement in the Pre-Hospital / EMS Settings

Airway management is one of the most essential elements during interfacility emergency medical transport. One primary goal is to provide adequate client ventilation up to the point of…

Risk Reference Sheets

Care

Obstetrics

Delayed Decision to Delivery Time for Caesareans

The time from decision to delivery for caesarean births was one of the five higher-risk themes analyzed by a recent national Canadian panel of experts exploring knowledge gaps, promising…

Risk Notes

Care

Obstetrics

Surrogacy - Practical Considerations (Ontario)

Overview The introduction of the All Families are Equal Act 2016 (the “Act”) has changed Ontario’s surrogacy and parental landscape. This is the province’s first update to its parentage…
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Risk Notes

Care

Obstetrics

Taking Placental/Fetal Remains Home

Overview of Issue Organizational practices surrounding the release of placental or fetal remains (i.e. fetus under 20 weeks, under 500g or for whom a death certificate or still-birth…
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Risk Case Studies

Care

Obstetrics

Neonatal Hyperbilirubinemia

Key Words Paediatrics, Acute Care, Patient Deterioration, Monitoring, Patient/Family Escalation, Jaundice, Neonatal Hypoglycemia, Situation Awareness, Team Communication, Neonatal…
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Risk Case Studies

Care

Obstetrics

Induction and Augmentation of Labour and Fetal Health Surveillance

Key Words Obstetrical Emergency, Breech, On Call and Contingency Plans, Operating Room, C-Section, Communication, Escalation,Attendance at Birth, Role Confusion Abstract An infant…
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Risk Case Studies

Care

Obstetrics

Induction and Augmentation and the “Crash” C-Section

Key Words Obstetrics, Acute Care, Interprofessional Communication, Monitoring, High Alert Medication, IV Oxytocin, Induction and Augmentation, Fetal/Patient Deterioration Abstract A…
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Risk Case Studies

Care

Obstetrics

Vaginal Birth After Prior C-Section

Key Words Obstetrics, Acute Care, Interprofessional Communication, Monitoring, Uterine Rupture, Vaginal Birth After Prior Caesarean Section, Patient Deterioration …
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Risk Case Studies

Care

Obstetrics

Maternal Cord Prolapse

Abstract A maternal patient attempting a breech delivery suffered a cord prolapse. Expert review of the team’s response to the obstetrical emergency was considered indefensible. Key…
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  • Deteriorating Patient
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