Evidence map›Paper›PMID 31013540›Full record

ArticleAmerican journal of perinatology2020

Understanding the Heterogeneity of Labor and Delivery Units: Using Design Thinking Methodology to Assess Environmental Factors that Contribute to Safety in Childbirth.

Jules P Sherman, Laura C Hedli, Alexandria I Kristensen-Cabrera, Steven S Lipman, Doug Schwandt, Henry C Lee, Lillian Sie, Louis P Halamek, Naola S Austin, Safety Learning Laboratory for Neonatal and Maternal Care

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of perinatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Jules P ShermanDepartment of Pediatrics, Stanford d. School, Stanford University, Palo Alto, California.
Laura C HedliDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Palo Alto, California.
Alexandria I Kristensen-CabreraDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Palo Alto, California.
Steven S LipmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California.
Doug SchwandtDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Palo Alto, California.
Henry C LeeDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Palo Alto, California.
Lillian SieDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Palo Alto, California.
Louis P HalamekDepartment of Pediatrics, Division of Neonatal and Developmental Medicine, Stanford University, Palo Alto, California.
Naola S AustinDepartment of Anesthesiology, Perioperative and Pain Medicine, Stanford University, Palo Alto, California.
Safety Learning Laboratory for Neonatal and Maternal Care
Stanford University · US

Funding

Optimizing safety of mother and neonate in a mixed methods learning laboratoryP30HS023506 · AHRQ · STANFORD UNIVERSITY · PI HALAMEK, LOUIS PATRICK · 2014 to 2017
$4.0M
AHRQ HHS P30 HS023506P30HS023506 Agency for Healthcare Research and Quality
6 · The paper itself

Abstract

objectiveThere is limited research exploring the relationship between design and patient safety outcomes, especially in maternal and neonatal care. We employed design thinking methodology to understand how the design of labor and delivery units impacts safety and identified spaces and systems where improvements are needed. STUDY

designSite visits were conducted at 10 labor and delivery units in California. A multidisciplinary team collected data through observations, measurements, and clinician interviews. In parallel, research was conducted regarding current standards and codes for building new hospitals.

resultsDesigns of labor and delivery units are heterogeneous, lacking in consistency regarding environmental factors that may impact safety and outcomes. Building codes do not take into consideration workflow, human factors, and patient and clinician experience. Attitude of hospital staff may contribute to improving safety through design. Three areas in need of improvement and actionable through design emerged: (1) blood availability for hemorrhage management, (2) appropriate space for neonatal resuscitation, and (3) restocking and organization methods of equipment and supplies.

conclusionDesign thinking could be implemented at various stages of health care facility building projects and during retrofits of existing units. Through this approach, we may be able to improve hospital systems and environmental factors.

Indexed as

Delivery RoomsHospital Design and ConstructionCaliforniaEquipment and Supplies, HospitalFemaleHumansInfant, NewbornLabor, ObstetricNeonatologyObstetricsPostpartum HemorrhagePregnancyResuscitation

Identifiers

PMID31013540
PMCPMC6989398
OpenAlexW2941685642

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.