New York State's Obstetric Safety Initiative: Providing Excellence in Electronic Fetal Monitoring
New York State's Obstetric Safety Initiative: Providing Excellence in Electronic Fetal Monitoring (EFM) was a two-year quality improvement initiative with the goal of improving fetal outcomes and reducing liability exposure in New York State by standardizing the methods by which obstetric team members define, interpret, communicate, document, and manage fetal heart rate tracings. Improving staff competencies in this area is of critical importance because EFM can warn the obstetric team of potential fetal complications, enabling clinicians to take action to avert or mitigate adverse outcomes.
Through the provision of regional train-the-trainer programs and subsequent ongoing education and program support, multi-disciplinary obstetric teams at the participating institutions worked to educate their obstetric staff and implement a standardized approach to EFM interpretation and management.
A collaboration of Healthcare Educational and Research Fund, Inc., an educational affiliate of HANYS; the American Congress of Obstetricians and Gynecologists (ACOG), District II; and New York State Department of Health (NYSDOH), the Initiative was generously funded by the New York State Health Foundation. The Initiative was also guided by a multidisciplinary expert EFM Task Force of clinicians and hospital administrators. While the first phase of the Initiative has concluded, a second phase is under development to focus on other areas of obstetric safety.
The Initiative developed a Web-based EFM eToolkit to provide obstetric staff with up-to-date information on evidence-based research and additional resources to ensure ongoing EFM competency. The EFM eToolkit is available on the ACOG Web site. View the EFM eToolkit