Posted on December 13th, 2017 by Thom Duncan
New guidelines outlined in the ACOG & AAP Task Force Report on Neonatal Encephalopathy (NNE) include scientific updates on specific fetal heart rate patterns, sentinel events, and newborn assessment indicators that may indicate an acute intrapartum hypoxic-ischemic injury that leads…
Posted on December 13th, 2017 by Thom Duncan
Over 90% of obstetric-related malpractice involves EFM negligence. EFM-related malpractice claims decrease in facilities that adopt, implement, and consistently use standardized EFM terms and guidelines. Universal adoption of standardized nomenclature by every practitioner skilled in EFM is a national goal….
Posted on December 13th, 2017 by Thom Duncan
The majority of obstetric triage encounters include an assessment of both mother and fetus but under certain conditions, clinical data may be unavailable. EFM triage is a skill of necessity that includes a brief and rapid assessment of fetal heart…
Posted on December 13th, 2017 by Thom Duncan
Four out of five prescriptions for psychotropic medications in the US are prescribed by primary care providers. Psychotropic medications have a relatively high rate of adverse side effects, and are an increasing source of claims for medical malpractice. Clinical practice…
Posted on December 13th, 2017 by Thom Duncan
H-CAHPS and CG-CAHPS are patient satisfaction surveys in the hospital and office settings. They are being collected, published and used by payers in determining hospital and physician reimbursement. Criticisms have been raised about the validity of the surveys and their…
Posted on December 13th, 2017 by Thom Duncan
Every physician in medical practice has at some time seen situations of patient past medical care that seemed inappropriate. In such situations physicians are immediately placed in the position of determining the immediate requirement for continuing medical care and the…
Posted on December 13th, 2017 by Thom Duncan
Occiput posterior (OP) malpresentation occurs 15-25% at term and 5-12% at birth, increases risk of surgical birth, and frequency coincides with category II or III FHR patterns. In an effort to reduce cesarean births, non-invasive and invasive rotational measures may…
Posted on December 13th, 2017 by Thom Duncan
Typical interventions used during the second stage of labor frequently impede oxygen delivery and increase risk to the patient, fetus, and practitioner. Underutilization of laboring down, open-glottis breathing and upright positions by physicians is evident nationwide. This activity outlines the…
Posted on December 13th, 2017 by Thom Duncan
When medi-spas first appeared, spurred by advances in laser technology, they were largely unregulated. Now, many states are requiring medi-spas to be associated with a physician as an owner, supervisor or contractor. Offers are being made, and physicians of many…
Posted on December 13th, 2017 by Thom Duncan
Informed Consent continues to be a source of medical error and medical malpractice claims. Obtaining consent is sometimes delegated to someone other than the physician performing the procedure; it is sometimes reduced to obtaining a signature on a piece of…