如何减少OB/GYN渎职索赔|188体育直播比分Laerdal Medical

A recentstudy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 simulation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。

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产科解决方案 - Simmom®和Mamabirthie

Key takeaway #1: The data on maternal outcomes shows that improvement is needed now.

While reduced malpractice claims were used as a measure, the study is ultimately about improving patient outcomes.

该研究强调了美国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 2019.⁴这代表孕产妇死亡增加14％。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,⁵and79% of OB/GYNs have been involved in a malpractice suit。⁶

Whatever your connection to labor and delivery, the data confirms that taking steps to make an impact on these numbers deserves priority.

提示弹性

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.

drop in malpractice claims during the study period.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

过去在这一领域进行了研究，但没有得到高度宣传。

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.¹¹利克特量表会向参与者提供一份声明，并要求他们评分他们同意的程度，使用从“完全同意”到“中性”到“强烈不同意”的价值观。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.

当涉及到对医院底线的影响模拟可以进行的影响时，这项研究表明了模拟如何获得回报。

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MamaNatalie

Key takeaway #4: Teamwork and communication count.

该研究的作者确认了专家一段时间以来所知道的：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

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, 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

自然，与不利事件有关的沟通问题也会影响责任。一项研究发现，针对Ob-Gyns的渎职诉讼中有16-36％涉及沟通不畅。^15、16

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.

Mamabirthie

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 found80％的医院风险经理正在自我照顾他们的医生。¹⁹这一切都指向与劳动和分娩相关的风险以及对患者的潜在后果 - 专家同意的后果在许多情况下是可以预防的。

随着孕产妇死亡率继续攀升，Laerdal致力于扭转这一趋势。

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.

帮助您对孕产妇的成果产生影响

Labor and Delivery Resources

Obstetric Simulation can help build competency to ensure teams and individuals deliver high-quality care for both mother and baby, effectively manage adverse events, and positively impact patient outcomes, while reducing claims.

按需网络研讨会：OB声称高吗？使模拟最好的防御

In this Virtual SUN from March 2022, hear from Roxane Gardner, Md, MSHPEd, DSc, about a new study that she’s been a part of which shows a direct correlation between simulation-based training and lower malpractice claims in labor and delivery—lower by near 50%!

您应该考虑模拟以减轻风险的5个原因

就危险而言，医疗保健是当今世界上最高的，高度审查的行业之一。在本文中，我们介绍了五种特定的仿真方法可以有所作为。每个人都提供了一个原因，因此值得考虑减轻组织中风险的一种手段。

[E-Book] How Simulation Can Reduce Patient Risk

Patient simulation has been shown to make a major difference in mitigating risk and improving care quality. Download our eBook to learn how you can use simulation across every area of care in your hospital to reduce patient risk and improve the quality of care.

管理服务Program

With our Managed Services Program we bring a flexible and sustainable solution that can meet unique training needs to ensure an organizations’ success. This full-service solution can bring any combination of:

Mamabirthie是一位分娩模拟器和技能培训师，非常适合练习分娩操作和交付... Mamabirthie是一位分娩模拟器和技能培训师，非常适合练习分娩动作和提供尊重的产妇护理。学到更多。

保持母亲和婴儿安全的信息图

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One of the most important objectives during labor and delivery is recognizing the potential risks to the mother and baby. Learn more with this free infographic.

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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
同上
CDC。（2020）。怀孕死亡率监视系统。取自https://www.cdc.gov/reproductivehealth/maternal-mortality/pregnancy-mortality-mortality-surveillance-system.htm
Hoyert，D。（2022）。美国孕产妇死亡率，2020年。CDC国家卫生统计中心。取自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.
同上
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。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). 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.
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)
CRICO. (2010). Malpractice risks in obstetrics: 2010 CRICO Strategies national CBS report
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总理围产期安全倡议。(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