A Patient Safety Bundle for Shoulder Dystocia

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ID: 338995
2026
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Ranked #166 of 175 articles by views in International journal for quality in health care : journal of the International Society for Quality in Health Care

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Abstract
BACKGROUND: Shoulder dystocia is an often-unpredictable obstetric emergency that can result in significant neonatal and maternal injury. Appropriate preparation, anticipation, and management can significantly mitigate these injuries. METHODS: We performed a review of the relevant medical literature to develop a patient safety bundle, modeled after the American College of Obstetricians and Gynecologists Alliance for Innovation on Maternal Health bundles. Patient safety bundles are a set of evidence-based guidelines, which can be adapted for local circumstances to assist teams in the management of a medical condition with the intention of improving outcomes. RESULTS: The patient safety bundle we are proposing is organized into five domains: Readiness, Recognition and Prevention, Response, Reporting/Systems Learning, and Respectful, Equitable, and Supportive Care. CONCLUSION: We have developed a patient safety bundle to optimize the management of shoulder dystocia. While bundle components may be adapted to meet resources available in individual settings, standardization within an institution is strongly recommended. The bundle is meant to be a framework for facilities to adopt to foster optimal care of this challenging complication of vaginal delivery.
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openalex_W7225376624 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Corinne M. Weeks, Julia Knypinski, Fatima A. Estrada Trejo, Kavita Vani, Elizabeth Igboechi, Peter Samuel Bernstein
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Journal International journal for quality in health care : journal of the International Society for Quality in Health Care
Year 2026
DOI
10.1093/intqhc/mzag186
URL
https://doi.org/10.1093/intqhc/mzag186
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