Activity ID



May 23, 2023

Format Type


CME Credit



CME Provider

Louisiana Medical Mutual Insurance Company (LAMMICO)


Diagnostic error in medicine is one of the top ten causes of death in the US and around the world. Failure to diagnosis EFM patterns accurately has long and short term implications for patients and the perinatal team. Failure to diagnosis and manage fetal distress is a key factor in obstetric medical-legal malpractice claims with 21% of OB-related malpractice cases resulting in intrauterine hypoxia and birth asphyxia. Electronic fetal monitoring plays a major factor in these claims. Poor interpretation skills can lead to EFM diagnostic inaccuracies that result in over-management, under-management, or mismanagement often result from a lack of knowledge regarding NICHD terms and cognitive biases. This monograph evaluates diagnostic error as it applies to EFM interpretation and intervention and the cognitive biases that impact frequency. Utilizing several case study examples, learners gain an enhanced understanding of the short and long term implications of EFM diagnostic errors, evaluate personal cognitive biases, and consider solutions to decrease frequency are included.

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NOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.

Educational Objectives

Compare and contrast diagnostic errors in medicine with obstetric-specific and electronical fetal monitoring
Evaluate your own personal EFM cognitive biases and apply recommendations to limit them in clinical practice
Analyze several EFM case studies for diagnostic errors, identify any short or long term implications on clinical outcomes, and apply solutions to improve outcomes


diagnostic error, obstetrics, electronic fetal monitoring


Medical Knowledge, Patient Care & Procedural Skills

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Inpatient, Outpatient, Rural, Urban

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