Our physicians provide annual preventive exams and screenings, contraceptive counseling and management, pre-conception and obstetric care, management of gynecologic problems and menopause care.
Establishment and maintenance of efficient office processes; Quality assurance program; System for evaluating practice behaviors; Continued development of diagnostic and technical skills.
Lessons learned from the approach taken by the American Society of Anesthesia to address clinical errors and rising liability costs in the early s should be applicable to obstetrics.
The American Society of Anesthesia founded the Anesthesia Patient Safety Foundation in with multidisciplinary representation to systematically review national closed claims, identify major causes of morbidity and mortality, and recommend changes to the practice of anesthesiology 9. Overall, the combined effect of all these initiatives has been a to fold reduction in mortality and catastrophic morbidity for healthy patients undergoing routine anesthetics.
By the mids, liability payouts had decreased by a percentage proportionate to the reduction in morbidity and the insurance "risk relativity rating" for anesthesiology compared with other specialties had been dramatically reduced 9.
Crew Resource Management in Obstetrics Crew Resource Management is the organization of individuals into effective teams to perform a common goal with efficient, safe, and reliable interaction. It originated in the s when it was recognized that airline fatal accidents were primarily related to human errors with lack of coordination and poor teamwork among the crew Several generations of Crew Resource Management training have evolved since its inception, and Crew Resource Management, which has been associated with desired behavioral changes and effective performance, is currently an integral part of all flight training.
Components of Crew Resource Management include: Inherent within a safety culture that relies on the concept of Crew Resource Management is existence of standard protocols and procedures, and minimization of reliance on memory for critical function, the recognition of the effect of fatigue on performance, and the analysis and review of adverse events.
The medical system exceeds the airline industry in its complexity and in the need for timely and accurate information to make the best decisions in the rapid fashion. Communication breakdown and team-work problems were cited by the Joint Commission on Accreditation of Healthcare Organizations as the primary cause of the majority of perinatal death and injury in a Sentinel Alert issued in 3 Application of team-work strategies in perinatal medicine has been advocated by the Institute for Healthcare Improvement with the target outcomes of reduction in birth trauma and the establishment of strong internal standards so that liability claims or allegations are best and appropriately defended.
The application of Crew Resource Management principles and components to the labor and delivery environment is a promising concept. For example, SBAR i.
Team training, involving Crew Resource Management, has been incorporated in many institutions in United States, included a structured approach to team meetings, situation monitoring, and mutual support among medical workers and the creation of core, coordinating, and contingency teams in labor and delivery The core team, comprised of nurses, physicians, and midwives, provided direct care in labor and delivery; the coordinated team managed workloads, conflict resolution, and maintenance of team structure; and the contingency team consisted of predetermined individuals from the core team who responded in emergent situations.
Components of the program included training on the concept of a shared mental model for communication, SBAR, the use of key words e.
Caffeine’s Implications for Women’s Health and Survey of Obstetrician-Gynecologists’ Caffeine Knowledge and Assessment Practices Britta L. Anderson, B.A.,1,2 Laura M. Juliano, Ph.D.,2 and Jay Schulkin, Ph.D.1 Abstract Objective: Caffeine has relevance for women’s health and pregnancy, including signiﬁcant associations with. clinical management guidelines for obstetrician–gynecologists The American College of Obstetricians and Gynecologists WOMEN’S HEALTH CARE PHYSICIANS . The report describes multiple depression screening tools available for use, however, indicates that no firm recommendation exists for a universal screening tool. Office on Women's Health (OWH) Depression during and after pregnancy fact sheet is an informational tool for patients.
Completion of this training is a condition for employment or clinical privileges or both in many healthcare facilities in USA. Optimum Patient-Physician Communication The lack of effective patient-physician communication has been noted to be perhaps the second leading cause of malpractice In addition, problems with patient-physician communication have been reported to contribute significantly to patient dissatisfaction, which is commonly a precursor to a malpractice claim The quality of patient-physician relationship affects many areas within a risk management program, including diagnosis, patient satisfaction, disclosure of errors, informed consent, and medication management.
Effective communication also serves to build rapport, to strengthen mutual trust, and to demonstrate the physician's respect of the patient's preferences and culture, which can help avoid malpractice claims.
In contrast, ineffective patient-physician communication can lead to anger, misunderstandings, and unrealistic expectations, all of which have been associated with malpractice claims.
Improved patient-physician communication may mitigate the harm from medical errors in some cases and may also help reduce the frequency of future errors. Thus, optimizing patient-physician communication and strengthening the patient-physician relationship is a priority in managing risk.
Optimum patient-physician communication involves ensuring that patients are adequately informed, which includes addressing the patient's literacy level and cultural context, ensuring that patients are satisfied with their care, and alerting patients about errors in a timely manner.Thank you for considering Women's Medical Associates of Nashville for your health care needs.
Our physicians and staff strive to remain current with the latest advances in gynecology and obstetrical medicine, implementing techniques that are best suited to the individual needs of our patients.
Men Who Control Women's Health: The Miseducation of Obstetrician-Gynecologists (Athene Series) by Diana Scully () Paperback – out of 5 stars 1 customer review See all 2 formats and editions Hide other formats and editionsReviews: 1.
Mercyhealth understands that women have unique health care issues. Our obstetricians focus on all stages of pregnancy, from fertility care to childbirth. OB/GYNs also provide expert postpartum and infant care.
Gynecologists specialize in the female reproductive system. This includes the uterus, cervix, vagina, ovaries, fallopian tubes, and breasts. Levins Womens Health & Wellness Biscayne Blvd Ste North Miami, FL Call Dr.
Levin: () Levins Womens Health & Wellness Biscayne Blvd Ste North Miami, FL miles away. Accepts 19 insurance carriers. Call Dr. Levin for availability. Partners In Health strives to address these inequalities by expanding access to women’s health services in the countries where we work.
We provide access to family planning, medical care for pregnancy and childbirth, and antiretroviral treatment for pregnant women living with HIV. Certified nurse-midwives Obstetrician-gynecologists Native American women KEY POINTS Collaborative care betweenCNMs and Obstetrician-gynecologists physicians in the Indian Health Service has contributed to improved health outcomes for mothers and infants.
Collaborative care is a cost effective approach that optimizes the use of resources in low.