Research Papers

What Have We Learned & Where Are We Going?

by Emily Hamilton, MDCM, FRCSC, FACOG Senior Vice President, Clinical Research, PeriGen “In the New Year, you carry all the experiences of the past years and that is the greatest power of every New Year! This year, you are less student and more master!” ~Mehmet Murat Ildan, Contemporary Novelist & Playwright   Just as individuals Continue Reading

Implementation of a System-Wide Policy for Labor Induction

Publication: MCN, Maternal-Child Nursing Date: September/October 2011 Author: P. Terrence O’Rourke, MD, FACS, Gerald J Girardi, MD, FACOG, Thomas N Balaskas, MD, FACOG, Rebecca A Havlisch, JD, RN, Gay Landstrom, MS, RN, Beth Kirby, MSHL, CPHRM G. Eric Knox, MD, and Kathleen Rice Simpson, PhD, RNC, FAAN Abstract Standardization of key clinical protocols and policies Continue Reading

Third- and fourth-degree perineal lacerations: defining high-risk clinical clusters (*Editor’s Choice*)

Publication: American Journal of Obstetrics and Gynecology Date: April 2011 Author: Emily F. Hamilton, MD; Samuel Smith, MD; Lin Yang, MSc; Philip Warrick, PhD; Antonio Ciampi, PhD Abstract OBJECTIVE: Statistical methods that measure the independent contribution of individual factors for third-/fourth-degree perineal laceration (TFPL) fall short when the clinician is faced with a combination of Continue Reading

Quality Improvement Opportunities in Intrapartum Care

Publication: March Of Dimes Date: December 2010 Author: Steven L. Clark, Eric Knox, Kathleen Rice Simpson, Gary D.V. Hankins Abstract The intrapartum period represents a time of significant risk to both mother and fetus. While small in an absolute sense, risks experienced during the peripartum period (for example, fetal neurologic impairment due to prematurity and Continue Reading

Perinatal high reliability

Publication: www.AJOG.org Date: June 2010 Author: G. Eric Knox, MD; Kathleen Rice Simpson, PhD, RN Abstract Perinatal high reliability is achievable with principles of high reliability organizations. Key organizational, leadership, and clinical characteristics that are essential for developing and sustaining a highly reliable perinatal unit are presented. Interdisciplinary collaboration and commitment to safe care that Continue Reading

Graded classification of fetal heart rate tracings: association with neonatal metabolic acidosis and neurologic morbidity

Publication: American Journal of Obstetrics and Gynecology Date: March 1, 2010 Author: Colm Elliot, MEng; Philip Warrick, PhD; Ernest Graham, MD; Emily F. Hamilton, MD Abstract OBJECTIVE: The objective of the study was to measure the performance of a 5-tier, color-coded graded classification of electronic fetal monitoring (EFM). STUDY DESIGN: We used specialized software to Continue Reading

A Comprehensive Perinatal Patient Safety Program to Reduce Preventable Adverse Outcomes and Costs of Liability Claims

Publication: The Joint Commission Journal on Quality and Patient Safety Date: November 2009 Author: Kathleen Rice Simpson, Ph.D., R.N.C.; Carol C. Kortz, C.P.H.R.M., C.H.S.P.; G. Eric Knox, M.D. Abstract Catholic Healthcare Partners (CHP; Cincinnati) conducted on-site risk assess-ments at the 16 hospitals with perinatal units in 2004-2005, with follow-up visits in 2006 through 2008. In Continue Reading
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