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IHI Open School – Patient Safety Curriculum – From Error to Harm

As long as humans are practicing health care, mistakes and harm will be part of our daily work. But how can you mitigate the mistakes you make? And why do we make errors in the first place? The suite of courses will introduce you to the fundamentals of patient safety, and explain why to err is human. You’ll dive into content about teamwork and communication, explore root cause analysis and the aftermath of adverse events, and discover the critical components comprising a culture of safety.

Electronic Fetal Monitoring Case Studies #4: Neonatal Encephalopathy

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…

Electronic Fetal Monitoring Case Studies #3: Standard Terms & Guidelines

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….

Electronic Fetal Monitoring Case Studies #2: EFM Triage

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…