SSF | Subcategory | Examples (caregivers involved) |
---|---|---|
Use of guidelines | Not used, without stating the reason | -Evaluation of suspected Intra Uterine Growth Restriction (IM) * |
-Post-mortem examinations (G)* | ||
-Post-partum bladder care (N) * | ||
-Fentanyl administration (A) * | ||
-Postnatal paediatric consult when child lives > 1 hr after induction for congenital anomaly (G) * | ||
-Rectal temperature measurement after axillary measured temperature > 37.5 °C (N) * | ||
Normal practice | Incomplete use | -History taking (IM) * |
-Insufficient time for good care during labour (N) * | ||
-Follow-up cease-smoking-advice (IM) * | ||
Not used, without stating the reason | -Evaluation of polyhydramnios (G) * | |
-Admission to ICU of critically ill patient (G) * | ||
-Care management program for patient with borderline personality disorder (IM) * | ||
-Interval between antenatal visits longer than advised (G) * | ||
Documentation | Base-line data not in patient record | -Base line data on folic acid use, height, weight, ethnic background (IM,G) * |
-Results laboratory tests and ultrasound investigations (M, G) * | ||
Considerations/management not in patient record | -Decision to perform a Caesarean Section (G) * | |
-Choice for particular medication (G) * | ||
Communication | Insufficient within the same echelon and equal professional level | -Handover of maternity care from general practitioner to independent midwife (GP) * |
-Information on the management of a urinary tract infection from general practitioner to independent midwife (GP) * | ||
-Exchange of patient information between the obstetric, genetics and pathology departments (G,CG,Pa) * | ||
Insufficient between echelons | -Information from medical specialist to GP and IM after referral mother or child (G) * | |
-Conflicting interpretations of post-mortem examination in patient letters to general practitioner and independent midwife (Pa) * |