L&D nurses lack clear, specific hospital policies for titrating pitocin during induction, leaving them vulnerable to liability when physicians pressure them to continue increasing dosage during non-reassuring fetal heart rate patterns.

Workarounds Described

• Nurses rely on vague policy and personal judgment, then may be pressured by physicians to titrate up

Implied Software Gaps

• Clinical decision support system that provides explicit, rule-based titration guidance tied to fetal monitoring data

PitocinSafe

PitocinSafe is a clinical decision support tool that provides real-time, evidence-based guidance for oxytocin titration based on fetal heart rate category, contraction pattern, and patient-specific factors. It standardizes care and documents decision rationale to protect nurses from liability and improve patient safety.