Identifying Potentially Preventable Elements in Severe Adverse Maternal Events

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Recounting nurse perceptions of events that surround adverse outcomes is vital. We describe a tool designed to capture the personal perceptions and experiences of nurses specifically related to adverse pregnancy events. These elements may have a significant effect on patient outcomes but are not captured in the medical record. Complete data are essential to determine probable causes, identify potentially preventable occurrences, and highlight opportunities for system and practice improvements.

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