We have completed a number of investigations where time limits as described in national guidance (Recommendations | Fetal monitoring in labour | Guidance | NICE) have delayed categorisation of CTG recordings, resulting in delays in escalation.
For example: A CTG is started, decelerations are present from the beginning. It is not possible for clinicians to know when the decelerations started.
- In what time frame would this be escalated in your unit?
- Would the expectation be to escalate before 30 minutes have passed?
- Do you include this type of scenario in your CTG training?
- Is your team empowered to escalate prior to confirmation of a pathological CTG or prior to awaiting results of a computerised antenatal CTG?
- Is your team empowered to recognise the potential impact of CTG abnormalities which are present at the beginning of a CTG recording?
This was first published in the Stakeholder Bulletin: Jan 2025 - Edition
Related news
Safety Spotlight: Patient Ethnicity Data Collection
MNSI has found that inaccurate or missing recordings of a woman’s ethnicity have impacted her subsequent pathway of care.
Read the full article
Safety Spotlight: Maternal Deaths in the first trimester from Venous Thromboembolism (VTE)
MNSI has undertaken investigations of maternal deaths in the first trimester from venous thromboembolism (VTE)
Read the full article
Safety Spotlight: Changes to the MNSI investigation report template
On 1st April 2024, six months after the transition to being hosted by the CQC, MNSI changed their investigation reports and process.
Read the full article
Safety Spotlight: Incomplete observations generating incorrect EWS
MNSI has investigated a number of patient safety events where an incomplete set of observations generated an early warning score (EWS) via an electronic patient record (EPR) system.
Read the full article