Lisa A. Miller, CNM, JD, teaches multidisciplinary fetal monitoring programs nationally and is president of Perinatal Risk Management and Education Services. She is in clinical practice as a certified nurse-midwife at Saint Anthony Hospital in Chicago, Illinois.
System Errors in Intrapartum Electronic Fetal Monitoring: A Case Review
Article first published online: 24 DEC 2010
2005 American College of Nurse Midwives
Journal of Midwifery & Womens Health
Volume 50, Issue 6, pages 507–516, November-December 2005
How to Cite
Miller, L. A. (2005), System Errors in Intrapartum Electronic Fetal Monitoring: A Case Review. Journal of Midwifery & Womens Health, 50: 507–516. doi: 10.1016/j.jmwh.2004.09.012
- Issue published online: 24 DEC 2010
- Article first published online: 24 DEC 2010
- fetal monitoring;
- risk management;
- communication barriers
Intrapartum electronic fetal monitoring (EFM) interpretation and management continue to be a common issue in litigation involving adverse outcomes in term pregnancies. This article uses a case study approach to illustrate system errors related to intrapartum EFM. Common system errors related to use of intrapartum EFM include knowledge deficits, communication failures, and fear of conflict. Strategies for reducing error and the promotion of a patient safety approach to risk management in EFM are discussed, with an emphasis on the importance of a true team approach to EFM education, interpretation, and management.