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Organizations looking to improve OB outcomes should focus on fetal monitoring skill education and team communication processes and tools.
Documentation not only serves as a defense against allegations of malpractice but is also a primary mechanism for communication among the entire care team.
Harm events, malpractice claims and lawsuits can drain the passion and compassion of even the most confident health care professional.
While every harm event may be unique on the surface, there are common fundamental steps that can help organizations improve, learn and heal.
Investigating a harm event rapidly and thoroughly allows for earlier insight into the contributory causes and identification of preventive measures to avoid recurrence.
To respond effectively in the first crucial moments after a harm event, care teams need both a system for early reporting and a culture that supports it.
Accurate and timely diagnosis depends nearly as much on the health care team and systems as it does on the diagnosticians themselves.
Diagnostic errors affect an estimated 12 million Americans each year and likely cause more harm than all other medical errors combined.