Actionable Patient Safety Solutions (APSS)

19B Reducing Unnecessary Cesarean Deliveries

The Reducing Unnecessary Cesarean Deliveries APSS Blueprint outlines actionable steps healthcare organizations should take to successfully implement and sustain improvements in order to reduce morbidity and mortality due to obstetrical complications related to C-sections. Actionable steps to prevent unnecessary C-sections  and summaries of available evidence-based practice protocols are included:

  • Leadership checklist guide to determine whether current evidence-based guidelines are being followed in your organization
  • Performance improvement plan to follow if improvements are necessary
  • Clinical workflow for monitoring for physical and emotional obstetrical complications, from the antenatal setting, throughout hospitalization, and post-discharge
  • Knowledge base on driving factors for high Cesarean rates around the world
  • How to educate patients and family members about preventing obstetrical complications and future pregnancies after a Cesarean delivery
  • Reducing unnecessary Cesarean delivery resource guide
  • Guidance on how to measure outcomes

The Blueprint is revised annually and is available free of charge on our website.

Hospitals who make a formal commitment to improve Cesarean section rates and share their successes on the PSMF website have access to an additional level of consulting services.

Executive Summary

The Problem Despite the significant short-term complications associated with cesarean deliveries, including, but not limited to, increased likelihood for blood transfusion, risk of complications from anesthesia, organ injury, nosocomial or non-hospital acquired infection post-discharge, thromboembolic complications, and neonatal respiratory complications, and the significant long term complications, including, but not limited to,

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