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Clinical
Guidelines for the Obstetrical Services
of the CRICO-insured Institutions The Clinical Guidelines for the Obstetrical
Services of the CRICO-insured Institutions
are intended to provide guidance for clinicians
and to support the safest maternal and fetal
outcomes for patients receiving care in
CRICO-insured medical institutions. The
recommendations for practice included in
this document were arrived at through careful
consideration of the available evidence
and should be considered as thoughtful,
expert advice. These Guidelines offer a
framework for provision of obstetrical care,
rather than an inflexible set of mandates.
Clinicians involved in obstetrical care
must use their professional knowledge and
judgment when applying the recommendations
to the management of individual patients.
These Guidelines are subject to revision
at regular intervals as changes in clinical
practice evolve.
This article is in PDF format (requires
Adobe Acrobat Reader, download
it here). |
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Understanding
CRICO's Perinatal Claims
High liability risk for obstetricians/gynecologists
is neither a myth nor a mystery. Over the
past 10 years, the claim rate for ob/gyn
specialists was nearly four times higher
than the average for all insured physicians.
By Heidi Groff, RN, NP, MPH |
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Preventable
vs. Non-preventable Birth InjuriesIn spite of the
physical and emotional burdens related to
asphyxia and the payouts they generate,
increasingly researchers recognize that
not all cases labeled "birth asphyxia"
are preventable. By James A. Greenberg,
MD and Jeffrey L. Ecker, MD |
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The
Perinatal Nurse's Communication ResponsibilityThe perinatal
nurse's responsibility in the identification
of risk factors and notifying the appropriate
provider. Why this assessment and communication
stage is vital in helping reduce preventable
errors. By Patricia M. Connors, NP |
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Challenging
Junk Science TestimonyTraditionally,
an expert witness with reasonable credentials
has had license to opine as to all medical
issues in a case. But, through a series
of decisions, courts have been invited to
examine the basis of expert opinion to assess
its reliability before allowing that evidence
in trial. By Susan Donnelly, JD |
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Closed
Claim AbstractA mother with prenatal
complications delivers a baby with severe
neurological damage. Tom Augello discusses
claims management issues of an obstetrics
related suit. |
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Legal
Report: January 2003A national trend
in medical malpractice claims is toward
fewer suits with higher awards. Legal Editor
Frank Reardon looks at a recent case with
a very high plaintiff award, made possible
by some missing information |
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Team
Training in Perinatal CareA premier Boston
hospital re-structures its labor and delivery
units to reduce adverse events, cut costs,
raise patient satisfaction, and improve
provider morale. |
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