title: A performance improvement process to tackle tachysystole.
abstract: 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.
authors.affiliation: Summa Health System, Akron City Hospital, 525 East Market Med II, Akron, OH 44309, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Doyle
authors.forename: Tiffany H
authors.initials: TH
authors.lastname: Kenny
authors.forename: Amy M
authors.initials: AM
authors.lastname: Burkett
authors.forename: Vivian E
authors.initials: VE
authors.lastname: von Gruenigen
mesh_terms: D000328:Adult; D002983:Clinical Competence; D019317:Evidence-Based Medicine; D005260:Female; D005323:Fetal Monitoring / Q000379:methods; D006340:Heart Rate, Fetal / Q000187:drug effects*; D006771:Hospitals, Maternity; D006801:Humans; D007751:Labor, Induced / Q000009:adverse effects / Q000379:methods; D008485:Medical Audit; D019300:Medical Errors / Q000517:prevention & control; D017283:Neonatal Nursing / Q000379:methods; D010121:Oxytocin / Q000008:administration & dosage / Q000009:adverse effects*; D018743:Perinatal Care / Q000379:methods; D011247:Pregnancy; D018566:Pregnancy, High-Risk; D058996:Quality Improvement; D017751:Safety Management; D013647:Task Performance and Analysis; D014481:United States; D014590:Uterine Contraction / Q000187:drug effects; D055815:Young Adult
chemical_list: D010121:Oxytocin