Checklists for Rare Obstetric Emergencies: A Systematic Review
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Abstract
Background: : Healthcare checklists are cognitive aids that can be referenced by clinicians to reduce medical errors and reduce deviation from established treatment protocols. Objective: : To review published checklists for eclampsia, amniotic fluid embolism, uterine inversion, and magnesium toxicity, compare key components of the checklists, and develop consensus that could be used for future checklist development. Study Design : Systematic review Selection Criteria : All studies that contained a detailed checklist with specific actions related to rare obstetric emergencies were included. Rare obstetric emergencies were defined as having an estimated incidence less than 1 in 10,000. The literature search focused on amniotic fluid embolism, uterine inversion, eclampsia, and magnesium toxicity. Studies that only contained lists of medications, supplies, or data collection sheets were excluded. Data Collection and Analysis : Two authors independently extracted data from each included study and conflicts were resolved by a senior author. Main results : There were 15 included publications, with a total of 24 emergency checklists reviewed. Conclusion: : There is large variation in the recommended clinical steps for checklists on rare obstetric outcomes. This comparison will aid clinicians and organizations who would develop an institution-specific checklist for amniotic fluid embolism, uterine inversion, eclampsia, and magnesium toxicity.
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Posted on 12 Feb 2025 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.173935690.04715863/v1 — This is a preprint and has not been peer-reviewed. Data may be preliminary.
Checklists for Rare Obstetric Emergencies: A Systematic Review
Ethan A. Litman 1, Sarah Heerboth 2, Alexandria E. Cronin 3, Benjamin G. Cobb 2, Uma
Deshmukh1, and Johanna QUIST-NELSON 2
1Beth Israel Deaconess Medical Center Department of Obstetrics and Gynecology
2The University of North Carolina at Chapel Hill
3Harvard University Countway Library
February 12, 2025
Abstract
Background: Healthcare checklists are cognitive aids that can be referenced by clinicians to reduce medical errors and
reduce deviation from established treatment protocols. Objective: To review published checklists for eclampsia, amniotic
fluid embolism, uterine inversion, and magnesium toxicity, compare key components of the checklists, and develop consensus
that could be used for future checklist development. Study Design : Systematic review Selection Criteria : All studies
that contained a detailed checklist with specific actions related to rare obstetric emergencies were included. Rare obstetric
emergencies were defined as having an estimated incidence less than 1 in 10,000. The literature search focused on amniotic fluid
embolism, uterine inversion, eclampsia, and magnesium toxicity. Studies that only contained lists of medications, supplies, or
data collection sheets were excluded. Data Collection and Analysis : Two authors independently extracted data from each
included study and conflicts were resolved by a senior author. Main results : There were 15 included publications, with a total
of 24 emergency checklists reviewed. Conclusion: There is large variation in the recommended clinical steps for checklists
on rare obstetric outcomes. This comparison will aid clinicians and organizations who would develop an institution-specific
checklist for amniotic fluid embolism, uterine inversion, eclampsia, and magnesium toxicity.
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BJOG_Rare_OB_Emergencies_titlepage.docx available at https://authorea.com/users/891198/
articles/1268139-checklists-for-rare-obstetric-emergencies-a-systematic-review
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RARE OB EMERGENCIES.TABLE1.docx available at https://authorea.com/users/891198/articles/
1268139-checklists-for-rare-obstetric-emergencies-a-systematic-review
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RARE OB EMERGENCIES.TABLE2.eclampsia.docx available at https://authorea.com/users/891198/
articles/1268139-checklists-for-rare-obstetric-emergencies-a-systematic-review
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RARE OB EMERGENCIES.TABLE3.AFE.docx available at https://authorea.com/users/891198/articles/
1268139-checklists-for-rare-obstetric-emergencies-a-systematic-review
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RARE OB EMERGENCIES.TABLE4.UterineInversion.docx available at https://authorea.com/users/
891198/articles/1268139-checklists-for-rare-obstetric-emergencies-a-systematic-review
1
Posted on 12 Feb 2025 — The copyright holder is the author/funder. All rights reserved. No reuse without permission. — https://doi.org/10.22541/au.173935690.04715863/v1 — This is a preprint and has not been peer-reviewed. Data may be preliminary.
Hosted file
RARE OB EMERGENCIES.TABLE5.MAGTOXIC.docx available at https://authorea.com/users/891198/
articles/1268139-checklists-for-rare-obstetric-emergencies-a-systematic-review
2
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