Key result
Implementing a system approach to risk management on the labour ward, rather than a person approach, helps identify error-producing conditions and organizational processes that cause active failures.
A review advocating for a system-based approach to risk management on the labour ward to reduce patient harm.
May support system-based risk management on labour wards; leaves open prospective validation before practice change.
This is an exciting time to be involved in risk management on the labour ward as the focus is shifting from litigation prevention to that of reducing patient harm. This review concentrates on the practical aspects of implementing effective risk management on the labour ward. We need to move from a person approach aimed at the active failures of the obstetricians, midwives and anaesthetists on the frontline of the labour ward towards a system approach. This will identify the error and violation producing conditions and the managerial and organisational processes that give rise to the active failures.
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Bryony Strachan (2005) conducted a review in Risk management on the labour ward. System approach to risk management vs. Person approach was evaluated. Implementing a system approach to risk management on the labour ward, rather than a person approach, helps identify error-producing conditions and organizational processes that cause active failures.
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