Louisiana Medical Mutual Insurance Company (LAMMICO)

Central Line-Associated Bloodstream Infection (CLABSI) Prevention

Central line-associated bloodstream infections (CLABSIs) increase healthcare costs, prolong hospital length of stays, and increase the risk of mortality. Healthcare had been making strides in reducing infections associated with central linesuntil recently. To reverse this trend, there needs to be…

EFM Case Study #02: EFM Triage, Part 2

The act of sorting patients according to the urgency of their need for care, known as triage, is not limited to the ED. There are no formal EFM triage recommendations or clinical guidelines from ACOG, SMFM, or AWHONN regarding this…

EFM Case Study #02: EFM Triage, Part 1

The act of sorting patients according to the urgency of their need for care, known as triage, is not limited to the ED. There are no formal EFM triage recommendations or clinical guidelines from ACOG, SMFM, or AWHONN regarding this…

Second Stage Labor-Part II: Management & Risk Mitigation

The second stage of labor creates the greatest physiologic challenge to both mother and fetus. Oxygen delivery is reduced while oxygen consumption increases during this phase of labor. Certain interventions may help or hinder oxygenation. Using closed-glottis (Valsalva technique), coach-assisted…

Second Stage Labor-Part I: Risk Exposure Case Study

The second stage of labor creates the greatest physiologic challenge to both mother and fetus. Oxygen delivery is reduced while oxygen consumption increases during this phase of labor. Certain interventions may help or hinder oxygenation. Using closed-glottis (Valsalva technique), coach-assisted…

CT incidental Findings: What Do You Do With Them?

The technology of computed tomography is improving, yielding higher resolution images. As a result, radiologists are discovering increasingly more incidental findings (findings unrelated to the reasons for which the scan was ordered). Incidental findings can present radiologists with reporting conundrums….

Patients With Service Animals: Concerns and Risk Issues

Dogs and other animals can guide blind people through hazardous street intersections, provide psychiatric therapy to veterans suffering from PTSD, and alert diabetics of hypoglycemic and hyperglycemic events. Today, there is an increased use of service animals by people with…

Hacking Medical Devices: Modern Piracy

Over 10 million Americans rely on medical devices that may be vulnerable to cyberattacks. The COVID-19 pandemic has only increased the public’s reliance on these medical devices, in part because many patients are seeing their healthcare providers via telehealth. The…

Surgical Safety Checklists: Detecting Barriers, Maximizing Benefits

Many studies show using a surgical safety checklist improves surgical outcomes. In one survey of clinicians, over 90% of respondents said they would want a checklist used if they were undergoing surgery. However, researchers have recently identified poor checklist compliance…

Implicit Bias and Maternal Mortality

The United States has a high and still rising rate of maternal deaths, and black and indigenous women are dying from complications of childbirth at higher rates than white women. Although the problem of maternal mortality is complex, studies have…