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Designing Systemsto Improve Care for Every Mother, Everywhere
@neel_shah
Capabilit
y
Too Little
Too Much
Time
United States Cesarean Deliveries, 1970-2010
# of hospitals with each CD Rate
CD
Rate
7%
70%
x 10
Cesarean Rates by Hospital Across the United States
Don’t Know Know
Inadequate
education
Intentionally
err
Unintentionally
err
Misaligned
incentive
System
complexity
Clarity
Baby’s safety
Mom’s safety
Best long term
health for both
Forcing
Functions
Category
FETAL
PROGRESS
Clear Indications Fuzzy Indications
MATERNAL
Labor and Delivery Planning Board
Team
Preferences
Plan
Next Assessment
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