Open AccessCognitive Aids in Obstetric Units
Author(s) -
Gillian Abir,
Naola Austin,
Katherine M. Seligman,
Barbara K. Burian,
Sara N. Goldhaber-Fiebert
Publication year - 2020
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - Uncategorized
Resource type - Journals
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000004354
Subject(s) - medicine , multidisciplinary approach , cognition , health care , personalization , medline , multidisciplinary team , medical emergency , nursing , psychiatry , social science , sociology , world wide web , computer science , political science , law , economics , economic growth
Obstetrics has unique considerations for high stakes and dynamic clinical care of ≥2 patients. Obstetric crisis situations require efficient and coordinated responses from the entire multidisciplinary team. Actions that teams perform, or omit, can strongly impact peripartum and perinatal outcomes. Cognitive aids are tools that aim to improve patient safety, efficiency in health care management, and patient outcomes. However, they are intended to be combined with clinician judgment and training, not as absolute or exhaustive standards of care for patient management. There is simulation-based evidence showing efficacy of cognitive aids for enhancing appropriate team management during crises, especially with a reader role, with growing literature supporting use in obstetric and nonobstetric clinical settings when combined with local customization and implementation efforts. The purpose of this article is to summarize current understanding and available resources for cognitive aid design, implementation, and use in obstetrics and to highlight existing gaps that can stimulate further enhancement in this field.