As part of the campaign for patient safety the Regional Center for Clinical Risk Management (RCCRM) of Tuscany has launched a campaign on the prevention and management of shoulder dystocia.
In order to provide a guide to individual health agencies for the implementation of interventions that might lead to better prevention and management of this event, the RCCRM has developed a guidance document "Best Practices for the prevention and management of shoulder dystocia" (Chapter 2.1 of the best practices for patient safety in Obstetrics and Gynecology, published in No. 1 of: the Notebooks of laboratories for patient safety).
Based on the indications suggested by the Regional Good Practice the Trust of Prato:
- Implemented the dissemination of the document to address GRC Regional Centre to all relevant staff;
- Set up a general procedure for the adoption of formalized good practice;
- Ensured the prevention, when possible, through proper identification of risk factors for antepartum and intrapartum both at the time of taking over of the woman in labor (shared procedures and protocols for the management of all phases of childbirth);
- Ensured adequate treatment of cases by carrying out the maneuvers required by good practice and coordinate the multidisciplinary management of cases;
- Ensure the competence of health care professionals (knowledge, skills, interpersonal skills) through training and simulation;
- Made available the presence of a poster in all venues labor of childbirth aid to remember the maneuvers to be carried out;
- Implemented a default grid for the documentation of cases of shoulder dystocia;
- Ensured the conduct of an audit on all cases of dystocia