MAHC-Community-Health-Bulletin-Final
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Registered Nurse Anne Handley (above) kicks off the fi nal More OB module with a display for patients and<br />
visitors at the Bracebridge site. Dr. Tina Kappos (at right) provides education to her obstetrical peers during<br />
a skills day in the More OB program.<br />
More OB increases safety and satisfaction, lowers risk<br />
The obstetrical care teams at <strong>MAHC</strong> have completed a threeyear<br />
journey through the More OB (Managing Obstetrical Risk<br />
Effi ciently) program aimed at providing a safer care environment<br />
for our patients and families and protecting patient safety.<br />
While patient safety has always been a top priority in obstetrics,<br />
the More OB program is designed to standardize professional skills<br />
and training for all health care professionals who provide care in<br />
the birthing units.<br />
It has involved a multidisciplinary team of nurses, physicians<br />
and midwives who support labour and delivery at both sites working<br />
together to develop a team that has shared knowledge, skills<br />
and behaviour that contribute to safe, effective care.<br />
The fi rst module of More OB was launched in 2013 with an emphasis<br />
on learning together as a multidisciplinary team. The focus<br />
of Module 2 in 2014 was working together, with additional focus<br />
on communication skills and emergency drills. The fi nal year of<br />
learning was concentrated on culture change, refl ective learning<br />
and system improvements that foster a safe environment.<br />
During the past and fi nal year of the program, the teams were<br />
introduced to no harm and harm event reviews to fi nd their root<br />
causes. Learning is not about assigning blame, but rather to<br />
understand why certain decisions were made and how organizational<br />
systems affected the event and outcome. This is how the<br />
providers learn from the event, share fi ndings and make improvements<br />
to prevent a similar event from happening.<br />
“The More OB program is focused on improving outcomes and<br />
mitigating and decreasing risks for moms and babies, so there is<br />
a lot of time spent practising how we manage potential emergencies,”<br />
says Dr. Sheena Branigan, Chair of <strong>MAHC</strong>’s Obstetrics Committee<br />
and More OB participant. “The more we practise our skills<br />
collaboratively, the better providers we can be.”<br />
Participants from both sites worked very hard throughout the<br />
three-year program and earned recognition awards along the way<br />
for their learning achievements.<br />
“<strong>MAHC</strong> is fortunate to have two great teams who have consistently<br />
demonstrated commitment to the obstetrics units at our<br />
sites, to the More OB program and to improving patient safety,” says<br />
Natalie Bubela, Chief Executive Offi cer.<br />
Muskoka Algonquin <strong>Health</strong>care More OB Core Teams earned recognition awards for participation in the More OB program.<br />
2016 COMMUNITY HEALTH BULLETIN 5