Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis.
Guillaume LaméElisa Giulia LiberatiAneurin CanhamJenni BurtLisa HintonTim DraycottCathy WinterFrancesca Helen DakinNatalie RichardsLucy MillerJanet WillarsMary Dixon-WoodsPublished in: BMJ quality & safety (2023)
CTG monitoring is an inherently collective and sociotechnical practice. Improving it will require accounting for complex system interdependencies, rather than focusing solely on discrete factors such as individual technical proficiency in interpreting traces.