A Performance Improvement Process to Tackle Tachysystole

Summa Health System, Akron City Hospital, 525 East Market Med II, Akron, OH 44309, USA.
Journal of Obstetric Gynecologic & Neonatal Nursing (Impact Factor: 1.02). 09/2011; 40(5):512-9. DOI: 10.1111/j.1552-6909.2011.01275.x
Source: PubMed


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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