The American College of Nurse-Midwives (ACNM)

• Failure to initiate timely referral to an obstetrician once an adverse event has presented itself, and appropriate management if the event is outside the midwife's scope of practice and expertise.
• Failure to properly monitor and interpret electronic fetal monitoring. The highest awards occurred in this category.

The ACNM has a position statement, Creating a Culture of Safety in Midwifery Care, and a number of publications addressing patient safety, quality improvement, and risk reduction.

For more information on the Obstetric Safety Initiative, or to offer suggestions for this site, contact us.