title: Nursing peer review of late deceleration recognition and intervention to improve patient safety.
abstract: We describe a nurse peer-review process to improve late deceleration recognition and intervention on one labor and delivery unit. Monthly chart audits (n = 721) met the goal of 75% reviewer agreement after the 4th month of implementation and have been maintained to date. Nurses recognized for excellence were more likely to be certified, work day shift, or be a member of the Perinatal Safety Team. Institutional support, a dedicated review team, and education contributed to success.
authors.affiliation: Summa Akron City Hospital, 525 East Market Med II, Akron, Ohio 44309, USA.
authors.forename: Jocelyn
authors.initials: J
authors.lastname: Davis
authors.forename: Tiffany H
authors.initials: TH
authors.lastname: Kenny
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Doyle
authors.forename: Michele
authors.initials: M
authors.lastname: McCarroll
authors.forename: Vivian E
authors.initials: VE
authors.lastname: von Gruenigen
mesh_terms: D000328:Adult; D003654:Deceleration; D003696:Delivery Rooms / Q000592:standards; D005260:Female; D005323:Fetal Monitoring / Q000592:standards*; D006340:Heart Rate, Fetal / Q000502:physiology; D006801:Humans; D007743:Labor, Obstetric; D008875:Middle Aged; D024802:Nurse's Role; D009723:Nurse-Patient Relations; D009773:Obstetric Nursing / Q000592:standards*; D010348:Patient Care Team / Q000458:organization & administration; D061214:Patient Safety; D010380:Peer Review; D011247:Pregnancy; D058996:Quality Improvement; D013997:Time Factors; D014481:United States; D055815:Young Adult