What do you think? Is that a late?It’s hard to believe it’s been nine years, almost ten, since Steven Clark et al published “Implementation of a conservative checklist-based protocol for oxytocin administration: maternal and newborn outcomes.” Their study found that the use of a checklist-based protocol for oxytocin administration could reduce maximum infusion rates without lengthening labor or increasing operative intervention. In fact, cesareans decreased as a result of the use of the protocol.

To understand how protocols are handled today, PeriGen has launched an ongoing research survey. So far, 129 clinicians have participated. Here is a summary of results so far:

  • 96.7% of respondents use protocols to improve patient safety
  • The top three most commonly used protocols are for obstetric hemorrhage (8.2%), induction/oxytocin (7.6%) and pre-eclampsia (6.8%).
  • Most protocols (56.06%) are managed via a combination of EHR forms, paper forms and separate electronic forms. Few (6.1%) are actually integrated with the EFM.
  • Despite published research indicating induction protocol compliance was 40%, the mean estimate for protocol compliance among respondents is 90%.
  • Most respondents (53.85%) indicate that their teams spend about 1-3 hours a month on training, including initial training, for the protocols they use.
  • Respondents (47.7%) also say they meet as needed to analyze and generate ideas about increasing the effectiveness of the protocols they use, although 21.5% schedule monthly meetings.

To view an infographic of the survey results, please click here. To participate, click here.