Questions
– What system errors that led to this woman
having an unnecessary caesarean?
– Would the routine use of a checklist protocol
for increasing oxytocin have eliminated many
of these errors?
– If so, what key elements should be part
of an oxytocin-infusion checklist?
Further resource
Clark S et al. Implementation of a conservative
checklist-based protocol for oxytocin
administration: maternal and neonatal outcomes.
American Journal of Obstetrics and Gynecology, 2007,
197:480e1-e5.
