Outcomes that count

The MOREOB Program creates, builds and sustains a working environment where professional autonomous silos, organizational hierarchy, communication gaps and uncoordinated teamwork are eliminated. This increased communication and teamwork has also had a direct result on the quality of life of caregivers.

With the MOREOB Program approach, change is incremental – ensuring that a culture of safety becomes embedded into practice. To measure their Birthing Unit’s outcomes, MOREOB teams are given the tools they need to benchmark their results, track their progress and then assess their results against other hospitals also undertaking the program.

MOREOB was found to improve outcomes in the following areas:

  • Reduced length of time of infants on ventilation (statistically significant)
  • Reduced severe infant morbidity (respiratory distress; bacterial sepsis; omphalitis; cerebral, intraventricular or subarachnoid hemorrhage due to birth injury; intracranial non-traumatic hemorrhage)1 (statistically significant)
  • Reduced maternal tears/ lacerations and length of stay (statistically significant)
  • Higher risk deliveries diverted to higher level of care hospitals
  • Increase in core clinical knowledge for all participants in all hospital care levels
  • Improved and sustained patient safety culture
  • Decrease in liability incurred costs and average cost per claim2 (statistically significant)

In addition hospitals have reported the following:

  • Reduced NICU admissions
  • Reduced admissions for latent stage of labor
  • Reduced elective inductions
  • Reduced time from admission to induction
  • Reduced PPH
  • Reduced neonatal sepsis
  • Improved management of shoulder dystocia
  • Reduced brachial plexus injury
  • Improved patient satisfaction and/or fewer complaints
  • Improved job satisfaction
  • Reduction in harm and no harm events
  • Improvement in the standardization and consistency of care practices
1. Frick, C. et al. (2009, June). Outcomes Following Province-Wide Implementation of the Managing Obstetrical Risk Efficiently (MOREOB) Program in Alberta. Poster Presentation SOGC ACM Halifax, NS
2. Data on file
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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.