Thread by @OBsleepmerchant

@hornerdeborah1 opens up on recognizing Critical Illness in #OBAnes. Is deterioration an issue? Yes. Why does it continue to be a problem? Fix the wrong things, don’t see 🐘 in room, no national standards (anywhere), we don’t study it! #OAA3dc2022

PIER approach to deterioration. 4P study important (slides still embargoed @hornerdeborah1?) - take home messages are key to detecting/ recognizing deterioration #OAA3dc2022

Design ambitions, design processes and it looks like every other early warning chart… #OAA3dc2022

Or does it? Based on physiological data from 4P study, only 2 degrees of separation reasonable. NEWS probably shouldn’t be use in #OBAnes. Recognizing changes in postpartum period is NB. What of other concerns? #OAA3dc2022

@hornerdeborah1 presents what our triggers & thresholds are for different MEWS scores. Importantly #OBAnes should be involved early, with ST1/2 (R4/5) review at MEWS 2-4 (low-medium).
Culture of #patientsafety is important. What does good culture look like?
#OAA3dc2022

How to optimize escalation & response? The Teach or treat approach - if unhappy escalate further. iDecide empowers patients. Empower staff and clinicians with guidelines and educational material. #OAA3dc2022

News reports like these are heartrending. Introspection is necessary - how do you contribute to the team culture/ communication dynamics?

@hornerdeborah1 acknowledges her team - @womenMDinanesth leading by example.
#OAA3dc2022

@threadreaderapp unroll please