AWHONN Convention
 

Sessions

B1 - After the Root Cause Analysis: Maternal Death Case Studies

Title: B1 - After the Root Cause Analysis: Maternal Death Case Studies

Disciplines: Obstetric (OB)

Learning Objectives:
  • • Describe a strategy to determine next steps for action following a root cause analysis after a maternal death
  • • Evaluate care in presented case studies
  • • Determine interventions that could have improved recognition and management of maternal compromise.

    • Submission Description:
    A root cause analysis is required for all unanticipated events. Maternal mortality is a rare event. Care issues prior to maternal mortality will be reviewed in case studies. In addition, the case studies will outline opportunities to improve care and outcomes.
    Monday, June 13, 2016: 1:45 PM-2:45 PM
    Texas AB (Gaylord Grapevine)
    Moderator:
    Lisa A. Miller, CNM, JD
    Presenting Authors:
    Suzanne McMurtry Baird, DNP, RN and Julie Arafeh, MSN, RN
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