Hospital Maternity Ward Significantly Decreases NICU Admissions With Shamaym
Location: Southern Galilee region, Israel
Size: 25 medical departments, 60+ outpatient clinics
Patients Served: 500,000+
Research shows that 70% of accidental injuries in hospitalized patients are caused by medical error or failure to follow accepted practices. Additionally, half of all surgical complications are thought to be avoidable, and most result from communication failures. The delivery ward at Emek Hospital, considered to be one of Israel’s top delivery wards, strives continuously to improve its outcomes. The ward is a complex, multifaceted setting where effective communication and coordination between team members is vital for patient safety and positive outcomes. The medical staff sought to upsurge patient outcomes and processes, specifically related to two medical procedures conducted during a number of deliveries: vacuum deliveries and genital tract examinations performed in cases of postpartum hemorrhage or retained placental products. The ward’s director, Prof. Raed Salim, turned to Shamaym to implement aviation-based debriefing practices in an effort to achieve superior outcomes. “The simplicity of the method enabled us to use it in our crazy lack of time environment,” said Prof. Salim.
With an innovative spirit and a desire to engender true change, Emek’s delivery ward joined forces with Shamaym to implement simple and effective individual and team-based learning, improve communication between team members, and ultimately reduce medical error in order to reach superior outcomes for mothers and newborns. Over the course of 18 months delivery ward physicians, led by Prof. Salim, regularly debriefed using the Shamaym Platform’s mobile application. The mobile application offered the team an easily accessible space to quickly record and share lessons and best practices.
After each procedure, regardless of outcome, physicians were prompted to answer a series of three questions about their experience and performance: What happened? Why did it happen? How can I improve? A similar form was completed regarding equipment used.Once every three to four months, forms were presented anonymously to members of the delivery ward team, to examine outcomes as a group.
Simultaneously, the staff participated in workshops at the team, managerial, and executive levels, where they had an opportunity to learn hands-on, share experiences in person, and hold each other accountable for their mutual improvement. Among other outputs, these workshops led to the creation of a birth checklist to keep all staff members on track. The team debriefed 308 vacuum deliveries and 219 general tract examinations that were studied to assess the debriefing method’s impact on health outcomes for mothers and newborns.
Specifically, the department saw a statistically significant decrease in:
Neonatal intensive care unit (NICU) admission (P = 0.048)
Hemoglobin drop (an indicator of bleeding, P = 0.042)
Maternal length of stay at the hospital (P = 0.003)
(P < 0.001)
Need for phototherapy
(P < 0.001)