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A performance improvement process to tackle tachysystole.

Authors
  • Doyle, Jennifer
  • Kenny, Tiffany H
  • Burkett, Amy M
  • von Gruenigen, Vivian E
Type
Published Article
Journal
Journal of Obstetric Gynecologic & Neonatal Nursing
Publisher
Elsevier
Publication Date
Jan 01, 2011
Volume
40
Issue
5
Pages
512–519
Identifiers
DOI: 10.1111/j.1552-6909.2011.01275.x
PMID: 22273408
Source
Medline
License
Unknown

Abstract

Inappropriate use of oxytocin is an important patient safety issue. In this article, the authors describe success in "tackling tachysystole" using an evidence-based algorithm for oxytocin administration. Monthly audits (N = 1160) reached 100% compliance. An algorithm posted at the bedside, multidisciplinary follow-up, education, and widely disseminated results helped counter resistance and normalization of deviance. Clinicians need standardized definitions and guidelines with measures of progress to manage safety concerns such as tachysystole.

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