Medical Interactive Community

EFM Case Study #10: Modules 1, 2, & 3 (FL)

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns.

EFM Case Study #11, FHR Decelerations: Part 1-Critical Thinking Drills

Fetal heart rate (FHR) decelerations expose providers/hospitals to malpractice risk. When decelerations become severe, failure to identify and intervene is a common malpractice allegation. Part 1 of this 3-part series contains critical thinking drills to test your knowledge and skill regarding FHR deceleration depth, duration, and frequency.

EFM Case Study #11, FHR Decelerations: Part 2-Physiology & Science

Fetal heart rate (FHR) decelerations expose providers/hospitals to malpractice risk. When decelerations become severe, failure to identify and intervene is a common malpractice allegation. Part 2 of this 3-part series discusses the science and physiology of FHR deceleration depth, duration, and frequency.

EFM Case Study #11, FHR Decelerations: Part 3-Severity Scales

Fetal heart rate (FHR) decelerations expose providers/hospitals to malpractice risk. When decelerations become severe, failure to identify and intervene is a common malpractice allegation. Part 3 of this 3-part series discusses the use of FHR Deceleration Severity Scales.

EFM Case Study #11: Modules 1, 2, & 3 (FL)

Fetal heart rate (FHR) decelerations expose providers/hospitals to malpractice risk. When decelerations become severe, failure to identify and intervene is a common malpractice allegation. This activity addresses FHR deceleration depth, duration, and frequency by using critical thinking drills to assess your knowledge and skill, discussing the science and physiology, and the use of FHR Deceleration Severity Scales.

EFM Case Study #12: Chain-of-Authority, Part 1

This activity is the first part of a 2-part series. Part 1 outlines aspects of creating a psychologically safe environment and part 2 focuses more on utilizing a Chain-of-Authority process when needed. Risk mitigation and patient safety strategies that successfully foster resolution are highlighted.

EFM Case Study #12: Chain-of-Authority, Part 2

This activity is the second part of a 2-part series. Part 1 outlines aspects of creating a psychologically safe environment and part 2 focuses more on utilizing a Chain-of-Authority process when needed. Risk mitigation and patient safety strategies that successfully foster resolution are highlighted.

EFM Case Study #13: Diagnostic Error

Poor interpretation skills can lead to EFM diagnostic inaccuracies that result in over-management, under-management, or mismanagement. This often results from a lack of knowledge regarding NICHD terms and cognitive biases. This activity evaluates diagnostic safety as it applies to EFM interpretation and intervention and the cognitive biases that impact frequency.

EFM Case Study #14: Golden Hour, Part 1

The 60 minutes immediately prior to birth and the first 60 minutes after, known as the “Golden Hour,” are critical. Improper care delivered during this timeframe has short- and long-term consequences. This course is the first part of a two-part series that provides insight on how to identify a fetus who may require resuscitation and reviews current NRP guidelines with a case study and critical thinking drills.

EFM Case Study #14: Golden Hour, Part 2

The 60 minutes immediately prior to birth and the first 60 minutes after, known as the “Golden Hour,” are critical. Improper care delivered during this timeframe has short- and long-term consequences. This course is the second part of a two-part series that provides insight on how to identify a fetus who may require resuscitation and reviews current NRP guidelines with a case study and critical thinking drills.

EFM Case Study #14: Modules 1 & 2 (FL)

The 60 minutes immediately prior to birth and the first 60 minutes after, known as the “Golden Hour,” are critical. Improper care delivered during this timeframe has short- and long-term consequences. This two-part activity provides insight on how to identify a fetus who may require resuscitation and reviews current NRP guidelines with a case study and critical thinking drills.

EFM Case Study #15: Critical Event Notification

The obstetric malpractice claim of "a delay in treatment of fetal distress" remains the number one factor in over 20% of claims from multiple PIAA resources. The key to avoiding delaying treatment to a fetus in distress is to recognize the critical nature of the fetal events and proceed with prompt notification to perinatal team members to provide much needed care.

EFM Case Study #16: Equipment Interpretation Failure

Perinatal clinicians are frequently unaware of the equipment limitations they use routinely. Non-invasive blood pressure machines, pulse oximeters, electronic fetal monitors, and the human that use them, are fallible. Understanding how a piece of equipment works, anticipating limitations under certain clinical conditions, and then modifying care is necessary for a patient’s safety. Over reliance on equipment breeds errors and increases malpractice risk.

EFM Case Study #17: Oxytocin - Myths & Truths

This activity evaluates the serious implications of oxytocin misuse by busting oxytocin myths with current scientific facts. The truth about how to properly administer oxytocin safely and effectively is evaluated with support from evidence-based resources.

EFM Case Study #18: Hypertensive Crisis & Stroke

Preeclampsia and any other form of hypertension make a stroke six- to nine-times more likely to happen. Stroke and the hypertensive crisis that may precede it are medical emergencies requiring treatment within 30-60 minutes of onset yet proper management is delayed or lacking; this increases medical-malpractice risk. This case study examines the current recommendations for the management of acute-onset severe hypertension in pregnancy.

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