Risk management/liability reform

From the Field: Eliminating Preventable Perinatal Injuries and Reducing Malpractice Claims and Costs: Creating High Reliability Obstetrics Units

We intend to reduce perinatal harm and decrease malpractice events by eliciting improved compliance in 4 clinical care bundles and implementation of an evidence-based simulation training methodology focused on improving clinical staff’s ability to work in teams. We are measuring our impact through a culture of safety survey and a high reliability survey, various outcomes measures.

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Filed in Blueprint, Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical controversies, Clinical practice guideline/policy change, Decision making and choice, Health professions education, Improved liability system, Performance measurement, Performance measurement/reporting, Risk management/liability reform, Shared decision making, Skills training or drills for health professionals, Strategies, Team building on Mon., Aug 1, 2011

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From the Field: Rattle Wraps – Patient Advocacy for Infant Caregivers

James’s Project sets out to reduce the US infant mortality rate and improve maternal health by raising awareness of patient safety issues in these areas. This is done by using the tools of education, communication and collaboration.

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Filed in Blueprint, Care coordination, Clinical practice guideline/policy change, Community education/outreach, Consumer advocacy or political action, Decision making and choice, Educational materials for health professionals, Health professions education, Risk management/liability reform, Shared decision making, Staffing/care coordination change, Stories from the Field, Strategies, Team building on Mon., Jul 11, 2011

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In the Literature: A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims

After implementation of this comprehensive patient safety program, birth trauma rates decreased, the number of obstetrical occurrences (specified birth-related event or injury that may lead to a claim) decreased by 65%, and the average costs per obstetrical claim decreased. The number of new claims reported decreased by 48%.

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Filed in Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Improved liability system, In the Literature, Performance measurement, Performance measurement/reporting, Risk management/liability reform, Staffing/care coordination change, Team building on Sun., Apr 3, 2011

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In the Literature: HCA reduces liability claims, cesarean sections with comprehensive patient safety approach

The general approach described in this article is the standardization of practices and protocols for several clinical situations associated with high risk of injury or harm, specifically use of oxytocin, misoprostol, or magnesium sulfate; operative vaginal delivery; and the management of shoulder dystocia and abnormal fetal heart rate tracings. In the period since the implementation of the comprehensive patient safety program, HCA saw a dramatic decrease in malpractice claims and loss rates. In addition, the primary cesarean section rate fell despite a generally liberal approach to operative delivery.

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Filed in Care coordination, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Health professions education, Improved liability system, In the Literature, Performance measurement/reporting, Risk management/liability reform, Team building on Tue., Mar 15, 2011

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In the Literature: Comprehensive patient safety program results in dramatic decrease in adverse events, 99% reduction in malpractice payments

New York Presbyterian Hospital-Weill Cornell Medical Center, a tertiary academic referral center in New York City, reports that following a multi-year, comprehensive patient safety program, sentinel events (maternal deaths and serious newborn injuries) decreased from 5 in 2000 to none in 2008 and 2009 while yearly compensation payments decreased from more than $27 million between 2003 and 2006 to $2.5 million between 2007-2009, a 99% reduction that far offset the cost of implementing the safety program.

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Filed in Blueprint, Clinical audit, case review, or analysis of adverse events, Clinical practice guideline/policy change, Educational materials for health professionals, Health information technology, Health information technology, Health professions education, Improved liability system, In the Literature, Progress, Risk management/liability reform, Skills training or drills for health professionals, Staffing/care coordination change, Team building, Workforce on Sun., Mar 6, 2011

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