How to Reduce OB/GYN Malpractice Claims
一项具有里程碑意义的研究表明，患者模拟如何成为OB/GYN的最佳防御
A recent学习出版于Obstetrics & Gynecologyrevealed some compelling results for Obstetricians/Gynecologists (OB/GYNs) – but also those working in risk management. The study, “Association of Simulation Training with Rates of Medical Malpractice Claims Among Obstetrician-Gynecologists,” is potentially a game changer. It determined that simulationtraining significantly lowered malpractice claim rates for OB/GYNs.1
In this article, we provide you with some key takeaways from the study, as well as some of our own content and research related to the topic of maternal outcomes.
Key takeaway #1: The data on maternal outcomes shows that improvement is needed now.
虽然将渎职索赔减少用作措施，但该研究最终是关于改善患者预后的。
该研究强调了美国obstetric adverse events are estimated to occur in between 2% and 16% of all deliveries. One analysis found that 40.5% of adverse events could have been prevented.2
Background
Maternal mortality in the U.S. has continued to rise over the last few decades.3新数据发现，2020年的孕产妇死亡率为每100,000例活产死亡23.8例，而2019年为20.1。4这代表14% increase in maternal deaths. Statistically significant increases in rates from 2019 to 2020 were seen in women of color, women aged 25-39, and women 40 and over.
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,5和79% of OB/GYNs have been involved in a malpractice suit.6
无论您与人工和交付的联系如何，数据都证实，采取对这些数字产生影响的措施都应得到优先级。
关键要点2：这项研究很广泛，并跨越了几年。
回顾性研究由四个机构的医生和工作人员领导：医疗模拟中心，杨百翰和妇女医院，哈佛医学院以及哈佛医疗机构的Crico/风险管理基金会。7他们研究了292 OB/GYN的表现，所有这些人都受到同一保险公司的覆盖，所有人从2002年至2019年进行了一次或多个模拟培训课程。专注于团队合作，沟通和组织文化。每次培训都立即进行汇报。
What the study revealed is that simulation training resulted in a nearly 50% decrease in malpractice claim rates.
在研究期间的渎职索赔下降。8
What the study also revealed is that参加多次模拟会议与索赔率的降低有关. 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.
In 2012, the Premier Hospital network published a similar study based on 14 hospitals that participated in the Premier Perinatal Safety Initiative designed to train OB/GYNs and assist staff in response procedures to perinatal emergencies. The 14 hospitals used simulation as a training method. The results是否在13家医院的每次分娩ob索赔减少了37％.9，10
Key takeaway #3: Malpractice claim rates are an objective measure of success.
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
在这项研究中，渎职行为声称实质上取代了李克特量表或其他措施。研究指出，索赔率是成功的客观，有形的，成功的指标。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.
关键要点＃4：团队合作和沟通数量。
该研究的作者确认了专家一段时间以来所知道的：the skills gained during the simulation trainings – namely, effective teamwork during high-acuity situations – helped promote safer care, leading to fewer adverse outcomes that could potentially become malpractice claims later.13
Background
关于沟通和团队合作以及如何影响患者成果的担忧可以追溯到医学研究所的著名报告，To Err Is Human，于1999年出版。查看不良患者事件的根本原因时，沟通和团队合作分解是共同点。
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
曾经有一段时间，沟通和团队合作技能被认为与临床技能分开。如今，它们被认为是提供临床技能和患者安全性的不可或缺的一部分。
Helping save maternal lives
超过50％的典型医院风险管理预算用于人工和分娩.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.
Laerdal’s mission is helping save lives. We pursue that mission by helping organizations like yours use simulation to educate and train your staff to provide optimal care. Our goal is to help save an additional 1 million lives annually by the year 2030. We seek out specific areas in healthcare where the need is crucial, with labor and delivery currently being one of the foremost.
在下面，您会发现大量资源，以帮助您开始使用模拟来改善孕产妇的安全，同时降低责任。而且，如果您想与Laerdal代表交谈，请填写以下表格。
Helping You Make an Impact on Maternal Outcomes
Het PROMPT Flex gamma is ideaal voor het aanleren en oefenen van high risk, low frequency-situaties en het vermindere...
Het PROMPT Flex gamma is ideaal voor het aanleren en oefenen van high risk, low frequency-situaties en het verminderen van complicaties. Het veelzijdig en modulair ontwerp van de PROMPT Flex zorgt voor een volledige ervaring in alle...
Haal Het Beste UIT UW SIMULATIE DOOT Simmom en Mamabirthie te Combineren。ÉénIndrukwekkende的Gecombineerd ...
Haal Het Beste UIT UW SIMULATIE DOOT 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 Laerdal Medical.
参考
- 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）。诉讼和临床实践中的妇产科医生。医学和健康科学研究年鉴，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
- Riley, W., Begun, J. W., Meredith, L., Miller, K. K., Connolly, K., Price, R., & Davis, S. (2016). Integrated approach to reduce perinatal adverse events: Standardized processes, interdisciplinary teamwork training, and performance feedback. Health Services Research, 51, 2431-2452. doi:10.1111/1475-6773.12592
- Riley，W.，Meredith，L。W.，Price，R.，Miller，K。K.，Begun，J.W.，McCullough，M。和Davis，S。（2016）。通过减少可预防的围产期伤害来减少渎职索赔。卫生服务研究，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）。利开特式量表。英国百科全书。取自https://www.britannica.com/topic/likert-scale
- Schaffer, A. C., Babayan, A., Einbinder, J. S., Sato, L., & Gardner, R. (2021). See reference #1.
- 联合委员会。（2004）。Sentinel事件警报30：防止婴儿在分娩过程中死亡和伤害。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-造成损伤的交付/＃。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)
- 克里科。（2010）。妇产行的渎职风险：2010 CRICO策略国家哥伦比亚广播公司报告
- 汉弗莱（K.）患者安全杂志，18（2），第1页。130-137。doi：10.1097/pts.0000000000000937
- Premier Perinatal Safety Initiative. (2012). Reducing preventable birth injuries and liability claims through evidence-based care, enhanced teamwork. Retrieved from https://gshrm.org/images/meeting/091313/premier_white_paper_nov2012_final.pdf
- Brimmer, K. (2012). Risks involved with self-insuring physicians. Healthcare Finance. Retrieved from https://www.healthcarefinancenews.com/news/risks-involved-self-insuring-physicians-0