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Patient Safety Highlights 2015 - Safety Innovations for the L&D Unit: Creating a Vision for Leadership in Peripartum Medicine

Credits Available: Credit not available
This panel will combine an overview of the most promising safety solutions for the labor and delivery unit with practical suggestions for leading effective intraprofessional collaboration to maximize organizational capacity for improvements in quality and safety. 

Item Details

After completing this activity, the learner will be able to:

1) Define best practices for obstetric team communication and performance, including checklists and crisis resource management;
2) Envision a strategy to embed a culture of safety on the labor and delivery unit;
3) Identify solutions to ensure timely availability of emergency medications on the L&D unit given current regulatory requirements and drug shortages;
4) Access resources, such as the Maternal Patient Safety Bundles, that deliver safety solutions targeting the most common causes of preventable maternal and perinatal harm.
Jill M. Mhyre, M.D., Anesthesiology, University of Arkansas for Medical Sciences, Little Rock, AR
Dr. Mhyre trained at the University of Michigan Health System, where she completed medical school, residency, and research fellowships in the Robert Wood Johnson Clinical Scholars Program and the NIH BIRCWH Program (Building Interdisciplinary Research Careers in Women’s Health). She currently works at the University of Arkansas for Medical Sciences where she directs the Division of Obstetric Anesthesia and serves as Vice Chair for Research in the Department of Anesthesiology. Dr. Mhyre has developed a research program focused on maternal patient safety. Specific areas of interest include maternal mortality, severe obstetric morbidity, perioperative and peripartum cardiopulmonary resuscitation, regionalization of peripartum care for women with significant co-existing disease, and systems solutions to improve communication and safety on Labor and Delivery units. She is the Chairperson of the Society for Obstetric Anesthesia and Perinatology Patient Safety Committee, chaired the National Partnership for Maternal Safety Subcommittee on Vital Sign Triggers, and is a member of the Editorial Boards for Anesthesia and Analgesia and the International Journal of Obstetric Anesthesia.

Jill M. Mhyre, M.D. has reported no financial relationships with commercial interests.

Yaakov Beilin, M.D., Anesthesiology, Ichan School of Medicine at Mount Sinai, New York, NY
Dr. Yaakov Beilin is Professor of Anesthesiology and OB/GYN and the Vice-Chair for Quality at the Icahn School of Medicine at Mount Sinai, New York, NY. He is also the Director of Obstetric Anesthesia and Director of the Obstetric anesthesia fellowship at The Mount Sinai Hospital.  His research interests include neuraxial anesthesia and coagulation. He has published more than 75 peer reviewed article and 30 book chapters.  He is also an Editor of the 5th edition of the premier obstetric anesthesia textbook: Chestnut’s Obstetric Anesthesia: Principles and Practice.  He has delivered more than 250 lectures, both nationally and internationally, on various anesthesia obstetric anesthesia and safety related topics.

Yaakov Beilin, M.D. has reported no financial relationships with commercial interests.

David L. Hepner, M.D., M.P.H., Anesthesiology, Perioperative and Pain Medicine, Brigham and Womens Hospital - Harvard Medical School, Boston, MA
David Hepner, M.D., M.P.H. is Associate Director of the Weiner Center for Preoperative Evaluation at the Brigham and Women's Hospital and Associate Professor of Anesthesia at Harvard Medical School.  He is an Associate Faculty Member of Ariadne Labs.  He is focusing his research on implementation of crisis checklists.  For the past five years, he has been working on the use of checklists in the operating room. Dr. Hepner helped with the development of team checklists for the most common and life-threatening operating room crises, enhancing usability, and optimizing adherence to critical steps in management.  He is a co-author of the pilot study that was published in the Journal of the American College of Surgeons, as well as of the most recently published article "Simulation-Based Trial of surgical-crisis checklists" in the New England Journal of Medicine.   Another goal of this project is to implement these crisis checklists, a task that he has been spearheading.  Dr. Hepner is leading a group at the Brigham and Women’s Hospital that has been teaching the crisis checklists to the incoming anesthesia residents. In addition, he is leading multidisciplinary team training sessions with the use of crisis checklists.  Dr. Hepner is a founding member of the Emergency Manual Implementation group, whose goal is to foster the dissemination and effective use of emergency manuals to enhance patient safety.  He has helped lead expert panel interactive discussions at the last three American Society of Anesthesiologists annual meetings on progress toward effective use of emergency manuals in hospitals across the country.  Dr. Hepner received his B.A. from Clark University, his M.P.H. from Harvard School of Public Health, and his M.D. from Medical College of Wisconsin. His clinical training includes internship in Medicine at the Washington University School of Medicine, and residency in anesthesiology and fellowship in obstetric anesthesia at the Hospital of the University of Pennsylvania.

David L. Hepner, M.D., M.P.H. has reported no financial relationships with commercial interests.

Heather C. Nixon, M.D., Anesthesiology, University of Illinois at Chicago, Chicago, IL
Dr. Heather Nixon is the current Division Chief of the Obstetric Anesthesiology, Fellowship Director of the Obstetric Anesthesiology Program and the Core Program Residency Director at the University of Illinois Hospital and Health Sciences System.  Dr. Nixon is a graduate of the University of Illinois at Chicago Medical School and Anesthesiology residency.   She completed her Obstetric Anesthesiology Fellowship at Northwestern Memorial Hospital – Feinberg School of Medicine and is currently enrolled in the Masters of Health Professional Education program at the University of Illinois.  Dr. Nixon’s scholarship interest include patient safety, obstetric anesthesiology and physician education.  She is an active member of several ASA and Society of Obstetric Anesthesiology and Perinatology national committees.

Heather C. Nixon, M.D. has reported no financial relationships with commercial interests.
  1. Accreditations refers to the number of Credits, AMA PRA Credits and MOCA if listed.

<p>The American Society of Anesthesiologists remains strongly committed to providing the best available evidence-based clinical information to participants of this educational activity and requires an open disclosure of any potential conflict of interest identified by our faculty members. It is not the intent of the American Society of Anesthesiologists to eliminate all situations of potential conflict of interest, but rather to enable those who are working with the American Society of Anesthesiologists to recognize situations that may be subject to question by others. All disclosed conflicts of interest are reviewed by the educational activity course director/chair to ensure that such situations are properly evaluated and, if necessary, resolved. The American Society of Anesthesiologists educational standards pertaining to conflict of interest are intended to maintain the professional autonomy of the clinical experts inherent in promoting a balanced presentation of science. Through our review process, all American Society of Anesthesiologists CME activities are ensured of independent, objective, scientifically balanced presentations of information. Disclosure of any or no relationships will be made available for all educational activities. </p>
<p>Windows system requirements: Minimum 1-gigahertz (GHz) 32-bit (x86) processor or 1-GHz 64-bit (x64) processor; 1 GB RAM or higher; Microsoft Windows XP, Windows Vista, or Windows 7 or newer. Macintosh platform system requirements: Intel processor; 1 GB RAM or higher; Mac OS X 10.5 (Leopard) or newer. Recommended minimum Web browsers: Internet Explorer 8, Firefox 25.0, Safari 6, and Google Chrome 30. Your browser will also need to have JavaScript enabled. Adobe® Reader® 7.0 or higher is also required. Minimum bandwidth: 512 kbps. </p>
Patient Safety Highlights 2015 - Safety Innovations for the L&D Unit: Creating a Vision for Leadership in Peripartum Medicine
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