New report: Strengthening Obstetrical Care in Canada

Published: June 26, 2018

The Canadian Medical Protective Association (CMPA) and the Healthcare Insurance Reciprocal of Canada (HIROC) have published a new report entitled Delivery in Focus: Strengthening Obstetrical Care in Canada [PDF]. With the goal of improving obstetrical outcomes for patients and their families, the report identifies contributing factors to patient safety incidents and offers mitigation strategies for healthcare providers and organizations.

This new report is the result of a comprehensive review of 10 years of CMPA and HIROC obstetrical cases and provides  further analysis on the shared top risk areas.

Among the highlights of the report:

  • the two highest shared risk areas are fetal heart rate monitoring and induction/augmentation of labour
  • system issues identified as having the greatest potential for positive impact
  • mitigation strategies include strengthening clinical decision-making by providers, boosting team communication, and bringing system issues to light

Now available on the CMPA website:

This collaboration is a follow-up to the 2016 report Obstetrics Services in Canada: Advancing Quality and Strengthening Safety [PDF], published by CMPA, HIROC, Accreditation Canada, and Salus Global. In the 2016 report, CMPA and HIROC identify five high-risk areas. Recognizing that CMPA and HIROC have databases with the potential to advance patient safety knowledge, both organizations embarked on a deeper dive into obstetrical case data. Each organization analyzed their respective cases, focusing on shared risk areas.