ASHRM Obstetrical Risk Management Playbook

Description

The Obstetrical Risk Management Playbook offers a wide array of obstetrical practice and risk management issues, concepts, and strategies both for the novice and advanced risk manager and the practitioner caring for pregnant women. Perhaps nothing can be more rewarding than the safe delivery of a baby to a healthy mother. However, obstetric claims remain both high in frequency and high in severity. Although obstetricians/gynecologists represent only 5 percent of US physicians, they generate 15 percent of liability claims and 36 percent of total payments made by medical liability carriers.

Preview Publication: ASHRM Obstetrical Risk Management Playbook

INTRODUCTION

History, Liability Claims

CHAPTER 1: CLINICAL CARE

Maternal Morbidity, Obstetrical Hemorrhage, Prenatal Care, Genetic Counselling and Testing, Placenta Release, Doulas, Birth Plans, Labor, Delivery, Induction and Augmentation, Fetal Monitoring, Delivery, Obstetric Operating Area, Analgesia and Anesthesia, Obese Obstetrical Patient, Perinatal Infection, Second Stage Labor, Shoulder Dystocia, Medications in Labor and Delivery, Malignant Hyperthermia, Obstetric Patient in the ED, ICU, Addiction, Home and Out-Of-Hospital Births, Care of the Newborn, Obstetric and Neonatal Emergencies, Circumcision

CHAPTER 2: HUMAN CAPITAL

Education and Certification, Unlicensed Assistive Personnel, Litigation Stress, Second Victims – Care for the Care Providers in Obstetrics

CHAPTER 3: OPERATIONS

Quality, Importance of Documentation of Care, Communication Handoffs, Specimen Management, Prevention of Unintended Retention Foreign Body, Cultural Diversity, Patient Identificaiton Practices, Healthcare Literacy and Translation, Dismissing a Pregnant Patient, Disclosure, Patient Experience, Workplace Safety, Universal Protocol, Chaperones, Photography and Video Recording, Risk Assessment, Metric/Dashboard, Proactive Analyses, Post-Event Analyses, Sentinel Events, Perinatal Patient Safety Practices

CHAPTER 4: HAZARDS

Preventing Falls, Perinatal Security, Electronic Article Surveillance System, Infant Transport

CHAPTER 5: TECHNOLOGY

Clinical Alarms, Multidisciplinary Simulation, Telemedicine

CHAPTER 6: FINANCE AND INSURANCE

Claims Management and Insurance Coverage, Understanding Physician Practice Exposure, Reporting Adverse Events, Investigation and Interviews

CHAPTER 7: LEGAL AND REGULATORY

Consents, Safe Haven Infant Protection Laws (SHIP), Responsibility of Hospitals as Safe Haven Providers, Risk Management Concerns, Intimate Partner Violence, Child Abuse/Domestic Violence, Privacy and HIPA Compliance, Adoption and Surrogacy, Caring for LGBTQ Patients, Emergency Medical Treatment and Active Labor Act (EMTALA) Requirement

CHAPTER 8: STRATEGIC

Social Media

CHAPTER 9: SAMPLE CASES

Appendix A – Sample: Genetic Amniocentesis – Informed Consent, Appendix B – Sample: Obstetrical Hemorrhage Debriefing, Appendix C – Sample: Photography and Support Person/Team in Labor and Delivery Room Unit, Appendix D – Sample: Simulation Hemorrhage Objectives/Debriefing Overview and Questions, Appendix E – Sample: OB Simulation – Hemorrhage, Appendix F – Sample: Simulation Evaluation Form, Appendix G – Sample: Delivery Consent – Vaginal/Cesarean Section, Appendix H – Sample: Cystic Fibrosis Informed Consent/refusal Genetic Carrier Testing, Appendix I – Sample: Screening Protocol for Obstetric Patient, Appendix J – Sample: EMTALA: Key Steps, Appendix K – Sample: Maternal Fetal Triage Index (MFTI) Checklist