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EFM Case Study #07: Levels of Care & Transport

Inappropriate, unsafe, or lack of transport when clinically indicated increases medical-legal risk to obstetricians and hospitals. This monograph applies the ACOG & SMFM maternal levels of care and their implications on maternal and/or fetal transport into an electronic fetal monitoring (EFM) case study format.

EFM Case Study #08: Preterm Labor, Part 1

The prevention and treatment of preterm labor (PTL) has shifted focus away from the pregnant patient and has become a means of improving newborn outcomes. The first of this two-part series applies ACOG and SMFM recommendations into an electronic fetal monitoring case study to improve critical thinking regarding early identification of EFM data significant for PTL.

EFM Case Study #08: Preterm Labor, Part 2

The prevention and treatment of preterm labor (PTL) has shifted focus away from the pregnant patient and has become a means of improving newborn outcomes. The second of this two-part series applies ACOG and SMFM recommendations into an electronic fetal monitoring case study to improve critical thinking regarding early identification of EFM data significant for PTL.

EFM Case Study #09: Verbal Communication, Part 1

Miscommunication is a primary root cause of perinatal injury and death, as well as, malpractice claims. This activity is part one of a two-part series that outlines various verbal communication errors using EFM case studies to improve EFM communication.

EFM Case Study #09: Verbal Communication, Part 2

Miscommunication is a primary root cause of perinatal injury and death, as well as, malpractice claims. This activity is part two of a two-part series that outlines various verbal communication errors using EFM case studies to improve EFM communication.

EFM Case Study #10: FHR Category II, Part 1: The Science

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is part 1 of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns.

EFM Case Study #10: FHR Category II, Part 2: Critical Thinking

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is part 2 of a three-part series that compares the current ACOG guidelines to the scientific research regarding new approaches to Category II FHR patterns.

EFM Case Study #10: FHR Category II, Part 3: Management

Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This activity is part 3 of a three-part series that 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 #12: Chain-of-Authority

Differences in clinical opinions regarding the interpretation of EFM data or other clinical factors between two perinatal practitioners can and will happen. Choosing not to share your clinical opinion when indicated or refusing to take into consideration another’s opinion into a patient’s care plan can increase malpractice risk. This monograph defines and outlines the Chain-of-Authority process; EFM critical thinking drills are included.

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 monograph evaluates diagnostic error 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.

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