title: Achievement of the 30-minute standard in obstetrics-can it be done?
abstract: One standard by which obstetrical practice is measured is the ability to achieve a time line of ≤ 30 minutes from decision for surgery to time of surgical incision for women in labor for whom a cesarean delivery is indicated due to fetal intolerance to labor. We reviewed our institution's performance regarding this standard and identified an initial rate of 25% of cases actually meeting this standard. Using a program of continuous quality improvement, various systematic and individual barriers were identified and overcome resulting in a significant change in performance. This is a report of the various processes and identified areas of challenge encountered to improve on the ability to achieve this important standard of care.
authors: MemorialCare Center for Women, Miller Children's Hospital, Long Beach Memorial Medical Center, Long Beach, CA 90806, USA. mnageotte@memorialcare.org
authors: Michael P
authors: MP
authors: Nageotte
authors: Beverly
authors: B
authors: Vander Wal
mesh_terms: D002585:Cesarean Section / Q000592:standards*; D003657:Decision Making; D005260:Female; D006801:Humans; D009774:Obstetrics / Q000592:standards*; D011247:Pregnancy; D013997:Time Factors