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Implementation of a System-Wide Policy for Labor Induction

O'Rourke, Terrence P. MD, FACS; Girardi, Gerald J MD, FACOG; Balaskas, Thomas N MD, FACOG; Havlisch, Rebecca A JD, RN; Landstrom, Gay MS, RN; Kirby, Beth MSHL, CPHRM; Knox, Eric G. MD; Simpson, Kathleen Rice PhD, RNC, FAAN

MCN, American Journal of Maternal Child Nursing: September/October 2011 - Volume 36 - Issue 5 - p 305–311
doi: 10.1097/NMC.0b013e3182069e12
Feature Article

Standardization of key clinical protocols and policies in the inpatient obstetric setting has the potential to improve care processes, ultimately resulting in better patient outcomes and decreased professional liability. Increasingly hospitals and healthcare systems are realizing benefits with adoption of standardization as a strategy for quality care improvement. We describe successful system-wide development and implementation of a policy for labor induction including avoidance of elective births before 39 completed weeks of gestation and standardization of various aspects of the labor induction process, with the goal of providing safer care.

This successful team describes the development and implementation of their system-wide policy for safer labor induction, including avoidance of elective births before 39 completed weeks of gestation and standardization of various aspects of the labor induction process.

P. Terrence O'Rourke is the Executive Vice President/Chief Clinical Officer at Trinity Health, Novi, MI.

Gerald J. Girardi is the Perinatal Medical Director at Trinity Health, Novi, MI.

Thomas N. Balaskas is the Co-Director Maternal–Fetal Medicine at St. Mary's Hospital, Grand Rapids, MI, and a Clinical Associate Professor, Obstetrics and Gynecology at Michigan State University.

Rebecca A. Havlisch is the Vice President Insurance and Risk Management Services, Trinity Health, Novi, MI.

Gay Landstrom is the Senior Vice President and Chief Nursing Officer Patient Care Services at Trinity Health, Novi, MI.

Beth Kirby is the Director of Clinical Loss Control, Insurance and Risk Management Services at Trinity Health, Novi, MI.

G. Eric Knox is a Chief Risk and Safety Officer at Perigen, Inc. and a Professor, Obstetrics and Gynecology at University of Minnesota, Minneapolis, MN.

Kathleen Rice Simpson is a Perinatal Clinical Nurse Specialist, St. John's Mercy Medical Center, St. Louis, MO, and an Editorial Board Member of MCN. Dr. Simpson can be reached via e-mail at KRSimpson@prodigy.net

The authors declare no conflict of interest.

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© 2011 Lippincott Williams & Wilkins, Inc.