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Nursing Peer Review of Late Deceleration Recognition and Intervention to Improve Patient Safety


  • The authors report no conflict of interest or relevant financial relationships.


Tiffany Kenny, RN, MSN, C-EFM, Summa Akron City Hospital, 525 East Market Med II, POB # 2090, Akron, Ohio 44309.


We describe a nurse peer-review process to improve late deceleration recognition and intervention on one labor and delivery unit. Monthly chart audits (n = 721) met the goal of 75% reviewer agreement after the 4th month of implementation and have been maintained to date. Nurses recognized for excellence were more likely to be certified, work day shift, or be a member of the Perinatal Safety Team. Institutional support, a dedicated review team, and education contributed to success.