A measured approach

Interprofessional in purpose, format, and implementation, the MOREOB Program emphasizes that patient safety is everyone’s responsibility, all of the time.

With this approach, the MOREOB Program recognizes that a hospital’s obstetrical unit shares many of the characteristics that define High Reliability Organizations (HROs). HROs are complex, intensely interactive and technical environments in which a variety of professional disciplines with diverse roles and responsibilities work together.

With over a decade of experience, we have demonstrated that the following HRO principles can be successfully adopted within the culture of obstetrical units:

  • Safety is the priority and is everyone’s responsibility
  • Communication is highly valued
  • Operations are a team effort
  • Emergencies are rehearsed
  • Hierarchy disappears in an emergency. Decisions on safety issues can be made at any level of the organization
  • There is interprofessional review of routine functions, near misses and unexpected events1

The MOREOB Program follows these overarching phases:

1. Develop capability2. Transfer to practice3.Develop capacity4. Measure outcomes5. Assess value

Adhering to these phases helps us successfully apply the HRO principles in practice.

Reference 1. Knox GE, Simpson KR, Garite TJ. High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice claims. J Healthc Risk Manag 1999;19(2):24-32.
* © American Society for Healthcare Risk Management (ASHRM). Reprinted with permission.
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More than OB

We can apply a similar approach to communication and teamwork that we bring to OB to adjacent maternal/infant care departments and even other hospital units such as emergency, ICU, cardiology, and other risk management areas.