Implementation of a multicenter shoulder dystocia injury prevention program

Linda Szymanski, Christine Arnold, Arthur J. Vaught, Susan LaMantia, Theresa Harris, Andrew J. Satin

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Although the evidence for supporting the effectiveness of many patient safety practices has increased in recent years, the ability to implement programs to positively impact clinical outcomes across multiple institutions is lagging. Shoulder dystocia simulation has been shown to reduce avoidable patient harm. Neonatal injury from shoulder dystocia contributes to a significant percentage of liability claims. We describe the development and the process of implementation of a shoulder dystocia simulation program across five academic medical centers and their affiliated hospitals united by a common insurance carrier. Key factors in successful roll out of this program included the following: involvement of physician and nursing leadership from each academic medical center; administrative and logistic support from the insurer; development of consensus on curriculum components of the program; conduct of gap and barrier analysis; financial support from insurer to close necessary gaps and mitigate barriers; and creation of dashboards and tracking performance of the program.

Original languageEnglish (US)
Pages (from-to)187-194
Number of pages8
JournalSeminars in Perinatology
Issue number3
StatePublished - Apr 2017


  • Quality and safety implementation
  • Shoulder dystocia
  • Simulation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology


Dive into the research topics of 'Implementation of a multicenter shoulder dystocia injury prevention program'. Together they form a unique fingerprint.

Cite this