{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T06:40:30Z","timestamp":1696401630650},"reference-count":7,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,4,22]],"date-time":"2014-04-22T00:00:00Z","timestamp":1398124800000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Healthc Risk Manag"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>The neonatal intensive care unit (NICU) manager calls you about a baby delivered last night now with brain trauma. She understands that it was a difficult delivery with a vacuum. There were \u201cmultiple pop\u2010offs\u201d and, after the baby was delivered, the NICU resuscitation team was called. The Apgar scores were 3 and 5. They are requesting risk management to lead a debriefing today. What to ask? How many pop\u2010offs are allowed? What was the interaction between the nurses and physician? Why wasn't the resuscitation team in attendance before the delivery? Was the vacuum placed properly? How many pulls? How long was the vacuum in place? What should be documented, and was the documentation adequate? All of these are appropriate questions for an adequate analysis of an adverse outcome resulting from a vacuum\u2010assisted vaginal delivery (VAVD). This article focuses on the risk management issues of VAVD in order to give the risk manager a better understanding of appropriate use, data\u2010gathering tools, educational opportunities, and assistance in establishing a culture of safety for the entire perinatal team regarding the use of the vacuum device.<\/jats:p>","DOI":"10.1002\/jhrm.21139","type":"journal-article","created":{"date-parts":[[2014,4,22]],"date-time":"2014-04-22T21:27:02Z","timestamp":1398202022000},"page":"23-28","source":"Crossref","is-referenced-by-count":0,"title":["Vacuum\u2010assisted vaginal delivery (VAVD)\u2014Basics for the risk manager"],"prefix":"10.1002","volume":"33","author":[{"given":"Larry","family":"Veltman","sequence":"first","affiliation":[{"name":"Providence St. Vincent Medical Center in Portland  Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,4,22]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"National Vital Statistics Reports","author":"Martin JA","year":"2013"},{"key":"e_1_2_5_3_1","unstructured":"US Food and Drug Administration. FDA public health advisory: need for CAUTION when using vacuum assisted delivery devices.http:\/\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/PublicHealthNotifications\/UCM062295.Published May 21 1998. Accessed April 1 2014."},{"key":"e_1_2_5_4_1","unstructured":"Institute for Healthcare Improvement.How\u2010to guide: prevent obstetrical adverse events.Cambridge MA:IHI;2012.http:\/\/health.usf.edu\/nocms\/publichealth\/chiles\/fpqc\/resources\/IHI_How\u2010to\u2010Guide%20Prevent%20Obstetrical%20Adverse%20Events.pdf.Updated October 2012. Accessed February 24 2014."},{"key":"e_1_2_5_5_1","unstructured":"ACOG Practice Bulletin No. 17: Operative vaginal delivery.American College of Obstetricians and Gynecologists;2000(reaffirmed 2012)."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD009298"},{"key":"e_1_2_5_7_1","first-page":"198","article-title":"Fetal injury associated with routine vacuum use during cesarean delivery","volume":"4","author":"Clark SL","year":"2008","journal-title":"Am J Obstet Gynecol."},{"key":"e_1_2_5_8_1","volume-title":"Vacuum delivery: what can go wrong","author":"Ross M.","year":"2011"}],"container-title":["Journal of Healthcare Risk Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjhrm.21139","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhrm.21139","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T19:50:10Z","timestamp":1696362610000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhrm.21139"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1002\/jhrm.21139"],"URL":"https:\/\/doi.org\/10.1002\/jhrm.21139","archive":["Portico"],"relation":{},"ISSN":["1074-4797","2040-0861"],"issn-type":[{"value":"1074-4797","type":"print"},{"value":"2040-0861","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}