How to Reduce OB/GYN Malpractice Claims
A landmark study shows how patient simulation can be an OB/GYN’s best defense
A recentstudypublished in妇产科揭示了对产科医生/妇科医生（OB/Gyns）的一些引人注目的结果，也揭示了从事风险管理的人。这项研究是“仿真培训与妇产科医生之间医疗事故索赔率的关联”可能是改变游戏规则的人。它确定了模拟培训显着降低了ob/gyn的医疗事故索赔率。1
在本文中，我们为您提供研究的一些关键要点，以及与孕产妇结果主题有关的一些内容和研究。
关键要点＃1：关于母亲结果的数据表明，现在需要改进。
While reduced malpractice claims were used as a measure, the study is ultimately about improving patient outcomes.
The study underscores that in the U.S.,产科不良事件估计发生在所有交付的2％至16％之间。一项分析发现，可以预防40.5％的不良事件。2
Background
在过去的几十年中，美国的孕产妇死亡率一直在上升。3New data found that the maternal mortality rate in 2020 was 23.8 deaths per 100,000 live births, compared with 20.1 in 2019.4This represents a孕产妇死亡增加14％。从2019年到2020年的统计学意义上的增长在有色妇女，25-39岁的女性和40岁及以上的女性中都有统计学意义。
This alarming data raises concerns not only for patient safety, but for legal liability as well. OB/GYNs have one of the highest malpractice insurance rates of any medical profession,5and79％的ob/gyns涉及渎职诉讼。6
Whatever your connection to labor and delivery, the data confirms that taking steps to make an impact on these numbers deserves priority.
Key takeaway #2: This study was extensive, and spanned over several years.
The retrospective study was led by doctors and staff affiliated with four institutions: the Center for Medical Simulation, Brigham and Women’s Hospital, Harvard Medical School, and the CRICO/Risk Management Foundation of the Harvard Medical Institutions.7他们看着292年妇产科医生的性能,of whom were covered by the same insurer and all of whom undertook one or more simulation training sessions from 2002 to 2019. The trainings involved low-frequency, high-acuity obstetric scenarios, and focused on teamwork, communication, and organizational culture. Each training was followed immediately by debriefing.
研究表明，模拟训练导致渎职索赔率降低了近50％。
drop in malpractice claims during the study period.8
研究还揭示了attending more than one simulation session was associated with a greater reduction in claim rates。The physicians who attended three or more trainings had significantly lower post-simulation claim rates than the physicians who attended a single training.
Background
Research has been done in this area in the past but hasn’t been as highly publicized.
2012年，总理医院网络发布了一项基于14家医院的类似研究，该研究参与了旨在培训ob/gyns的主要围产期安全计划，并协助员工为围产期紧急情况提供响应程序。这14家医院使用模拟作为培训方法。结果were that OB claims per delivery at the 13 hospitals decreased by 37%。9, 10
关键要点＃3：渎职索赔率是成功的客观衡量。
Measuring the effectiveness of a simulation program can be a challenge. In many studies, Likert scales are used to measure whether the participant felt that the training was valuable or believes that their skills have improved, vs. looking at the effect on clinical outcomes.11Likert scales present participants with a statement and asks them to rate the extent to which they agree with it, using values ranging from "strongly agree" to "neutral" to "strongly disagree."12
In this study, malpractice claims substantively take the place of a Likert scale or other measures. The study points out that claim rates are an objective, tangible, indicator of success.Major insurance carrier CRICO oversaw the collection of claims data to ensure impartiality and reliability.
When it comes to the impact simulation can have on a hospital’s bottom line, this study shows how simulation can pay off.
Key takeaway #4: Teamwork and communication count.
The authors of the study affirmed what experts have known for some time:在模拟培训期间获得的技能（即在高敏锐情况下的有效团队合作）有助于促进更安全的护理，从而导致更少的不良后果，这可能会在后来成为渎职索赔。13
Background
沟通和团队合作,如何的担忧they can impact patient outcomes date back as far as the Institute of Medicine’s famous report,To Err Is Human, published in 1999. When looking at the root causes of adverse patient events, communication and teamwork breakdowns are the common thread.
The Joint Commission found that 72% of adverse obstetric events were caused by communication issues.14
Recent research found that malpractice claims involving communication breakdowns were significantly less likely to be dropped, denied, or dismissed – and their mean total costs were higher.17
There was a time when communication and teamwork skills were considered separate from clinical skills. Today, they are considered an integral part of the delivery of clinical skills and patient safety.
Helping save maternal lives
Over 50% of the typical hospital’s risk management budget is spent in labor and delivery。18The staggering cost of malpractice insurance has led hospitals to seek alternatives. A study performed by the American Society of Healthcare Risk Management foundthat 80% of hospital risk managers are self-insuring their physicians。19This all points back to the risk associated with labor and delivery and the potential consequences for patients – consequences that experts agree are preventable in many cases.
With maternal mortality rates continuing to climb, Laerdal is committed to helping reverse this trend.
拉尔达尔的使命正在帮助挽救生命。我们通过帮助您这样的组织使用模拟来教育和培训您的员工以提供最佳护理来追求这一任务。我们的目标是在2030年帮助每年额外挽救100万人的生命。我们在医疗保健中寻找需求至关重要的特定领域，目前的劳动和分娩是最重要的。
Below, you’ll find an abundance of resources to help you get started with using simulation to improve maternal patient safety while reducing liability. And if you’d like to speak with a Laerdal representative, please fill out the form below.
Helping You Make an Impact on Maternal Outcomes
het提示弹性伽玛是想法的voor het aanleren en efenen van高风险，低频situties en het het het het het heT
het提示弹性伽玛是Ideaal voor het aanleren en efenen van高风险，低频率的verminderen verminderen van复杂性。het veelzijdig en Modulair ontwerp van de提示flex zorgt voor een volledige ervaring in Alle ...
Haal het beste uit uw simulatie door SimMom en MamaBirthie te combineren. Gecombineerd in één indrukwekkende...
Haal het beste uit uw simulatie door SimMom en MamaBirthie te combineren. Gecombineerd in één indrukwekkende simulatiekit kan deze oplossing in verschillende fasen van de Leercirkel worden ingezet voor een complete leerervaring.
de Mamanatalie-BevallingsSimulings Helpt U Realistische Trainingsscenario的TeCreëren。Koop online en vind...
de Mamanatalie-BevallingsSimulings Helpt U Realistische Trainingsscenario的TeCreëren。koop Online en vind soortgelijke Producten bij 188体育直播比分laerdal Medical。
References
- Schaffer, A. C., Babayan, A., Einbinder, J. S., Sato, L., & Gardner, R. (2021). Association of Simulation Training With Rates of Medical Malpractice Claims Among Obstetrician-Gynecologists. Obstetrics and Gynecology, 138(2), 246–252. https://doi.org/10.1097/AOG.0000000000004464
- Ibid
- CDC. (2020). Pregnancy Mortality Surveillance System. Retrieved from https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-surveillance-system.htm
- Hoyert, D. (2022). Maternal Mortality Rates in the United States, 2020. CDC National Center for Health Statistics. Retrieved from https://www.cdc.gov/nchs/data/hestat/maternal-mortality/2020/maternal-mortality-rates-2020.htm
- Adinma, J. (2016). Litigations and the obstetrician in clinical practice. Annals of Medical and Health Sciences Research, 6(2); 74-79. doi: 10.4103/2141-9248.181847
- Gallegos, A. (2021). Medscape Malpractice Report 2021. Medscape. Retrieved from https://www.medscape.com/slideshow/2021-malpractice-report-6014604#5
- Schaffer, A. C., Babayan, A., Einbinder, J. S., Sato, L., & Gardner, R. (2021). See reference #1.
- Ibid
- 莱利（W.减少围产期不良事件的综合方法：标准化过程，跨学科的团队合作培训和绩效反馈。卫生服务研究，51，2431-2452。doi：10.1111/1475-6773.12592
- Riley, W., Meredith, L. W., Price, R., Miller, K. K., Begun, J. W., McCullough, M., & Davis, S. (2016). Decreasing malpractice claims by reducing preventable perinatal harm. Health Services Research, 51, 2453-2471. doi:10.1111/1475-6773.12551
- Schaffer, A. C., Babayan, A., Einbinder, J. S., Sato, L., & Gardner, R. (2021). See reference #1.
- Jamieson, S. (2017). Likert Scale. Encyclopedia Britannica. Retrieved from https://www.britannica.com/topic/Likert-Scale
- Schaffer, A. C., Babayan, A., Einbinder, J. S., Sato, L., & Gardner, R. (2021). See reference #1.
- The Joint Commission. (2004). Sentinel Event Alert 30: Preventing infant death and injury during delivery. Retrieved from https://www.jointcommission.org/resources/patient-safety-topics/sentinel-event/sentinel-event-alert-newsletters/sentinel-event-alert-issue-30-preventing-infant-death-and-injury-during-delivery/#.YjDbZHrMKUl
- White, A., Pichert, J., Bledsoe, S., Irwin, C., & Entman, S. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol 2005;105:1031–8. doi: 10.1097/01.Aog.0000158864.09443.77)
- CRICO. (2010). Malpractice risks in obstetrics: 2010 CRICO Strategies national CBS report
- Humphrey, K., Sundberg, M., Milliren, C., Graham, D., & Landrigan, C. Frequency and Nature of Communication and Handoff Failures in Medical Malpractice Claims. Journal of Patient Safety, 18(2), p. 130-137. doi: 10.1097/PTS.0000000000000937
- 总理围产期安全计划。（2012）。通过基于证据的护理，增强的团队合作来减少可预防的出生伤害和责任索赔。取自https://gshrm.org/images/meeting/091313/premier_white_paper_nov2012_final.pdf
- Brimmer，K。（2012）。自我保健医生涉及的风险。医疗保健金融。取自https://www.healthcarefinancenews.com/news/risks-inews-involved-self-self-issuring-physicians-0