Tag Archives: Obstetrics

ACI to Host Obstetric Malpractice Forum in June

Sidenote: This announcement is from the American Conference Institute and our media partner, Medical Liability Monitor. If you would like to subscribe to Medical Liability Monitor, please click here.

On June 27-28, the American Conference Institute (ACI) will be hosting its 11th Annual Advanced Forum on Obstetric Malpractice at the Union League of Philadelphia, which occupies an entire city block in the center of Philadelphia’s commercial and cultural district. Medical Liability Monitor is a media sponsor of the event, and its subscribers are entitled to a discounted registration.

At this year’s Advanced Forum on Obstetric Malpractice, the nation’s leading obstetric malpractice attorneys, healthcare professionals, insurance professionals and hospital risk managers will conduct discussions on the latest litigation and claims trends, new theories of liability, emerging defense and damage mitigation strategies, cutting-edge technologies and techniques as well as evolving standards of care in obstetrics.

Discussion topics will include:

• Litigating claims arising from prenatal care as well as identifying and managing the risks during the prenatal period;

• Determining when perinatal asphyxia is the underlying cause of a brain injury;

• Emerging standards of care for infants born with brain injuries and other emergency situations;

• Developing an effective litigation strategy for claims due to shoulder dystocia;

• Ensuring the correct interpretation and response to fetal monitoring and litigating claims relating to fetal monitoring;

• How placental pathology and neuroimaging are impacting assessments of causation and timing of injuries;

• Assessing the impact of intrauterine infections and genetic disorders on the placenta and fetus;

• Minimizing exposure to obstetric malpractice litigation by identifying key drivers of risk, enhancing incident management practices and utilizing a systematic approach to process improvement;

• Determining the monetary value of a case through the effective assessment and use of life care plans.

Medical Liability Monitor readers are entitled to a discount when registering with the code: “MLM 200.”

If you are interested in registering, or to learn more about the conference, please call 888-224-2480 or visit the conference website at www.AmericanConference.com/ObMal.

How Malpractice Insurance Is Driving Defensive Medicine in Obstetrics

side note: This article examines how medical malpractice insurers are driving defensive medicine in obstetrics. It  makes poignant the difference between assurance and avoidance behavior in the delivery room. It also illuminates how the almost-universal expectation that child delivery will have a perfect outcome leads to giant malpractice verdicts and huge medical malpractice insurance premiums for OB/Gyns.

Consider the explosion in the rate of C-sections and inductions. They satisfy the requirements of assurance behavior.

Reducing adverse outcomes? Check.
Deterring medical malpractice claims? Check.
Pre-empting liability? Check.

continue reading

Errors, Lack of Communication & OB Med Mal Lawsuits

Side Note: Given the fact that the average payout in an OB medical malpractice case averages $947,000, more than twice the average of any other specialty, it is easy to see why OB med mal rates are so high, and it is important to find out the most common reason the med mal cases are filed. A recent study of over 800 Obstetric medical malpractice lawsuits released in June by CRICO Strategies, reveals the top three reasons suits are filed. The cases studied were filed between 2005 and 2009. Not surprisingly, the top three reasons listed in the suits were: errors in medical judgment, errors in communication, and technical mistakes.

Overwhelmingly, an error in clinical judgment was mentioned 77% of the time and the most common cause cited in the OB lawsuits. Next, errors in communication were cited in 36% of the cases. And, finally, technical errors were cited 26% of the time.

The study shows how OB medical malpractice liability rarely occurs with one individual making one, isolated mistake. Instead, it confirms that OB physician liability arises usually out of a series of errors made by a team of individuals. And, the frequent lack of communication, added to the mix, should not be overlooked. It seems that cases can be made worse by lack of communication either within the team or with the patient. This is not news to us.

Are you an Ob-Gyn looking to lower your OB-Gyn med mal rates? If so, contact us today for a free, no-hassle quote.

Judgment errors rank among top reasons for lawsuits against obstetricians
By Alicia Gallegos
From AMedNews.com
Posted June 28, 2011

Baby with ObstetricianErrors in clinical judgment, miscommunication and technical mistakes are the three top reasons cited for medical liability cases against obstetricians, according to a report.

The study, released in June by CRICO Strategies, analyzed the causes behind more than 800 obstetrician-related medical liability cases filed between 2005 and 2009. CRICO Strategies is an international company that provides risk management software and other services to hospitals and medical liability insurers.

See the original article.

Report on Malpractice Errors in Obstetrical Care Provides Road Map for Enhanced Patient Safety

side  note: The article below by CRICO Strategies—a patient safety and medical malpractice company owned-by and serving the Harvard medical community since 1976—attempts to unravel the events leading up to an obstetric claim of medical malpractice. What CRICO found was that OB malpractice issues are rarely the result of a single act or omission by a single healthcare provider. Instead it is a series of events that lead to error. CRICO believes that the results of its study can become a road map to enhanced OB patient safety.

Errors in clinical judgment were cited in 77 percent of more than 800 clinically coded obstetrical (OB) medical malpractice cases that were analyzed in a recent study by CRICO Strategies, a patient safety and medical malpractice company owned by and serving the Harvard medical community since 1976.


New York OBs in Crisis

Side Note: If New York’s med mal system is in crisis, then its obstetricians are at the apex of that crisis. As we all know, New York physicians face some of the highest med mal premiums in the country and have some of the fewest choices when it comes to med mal insurance providers. And, as well all know, obstetricians face some of the highest med mal litigation rates in general. So, being an obstetrician is tough in New York, to say the least –and incredibly tough in New York City.

Being an Obstetrician in New York is so tough that many hospitals are eliminating their obstetric beds to remain financially viable and many Ob/Gyns are no longer practicing obstetrics because they cannot bear the cost of the med mal insurance. The article below even states that the risk of some obstetricians getting sued is so high in New York that some obstetricians who have never even been sued can’t get liability coverage. As a result, New York women are having a harder and harder time finding obstetric care within a reasonable distance of them. This toxic combination of a lack of significant tort reform and a decreasing number of New York obstetricians could spell disaster for New York women and their babies if left unaddressed.

The article below discusses the idea of incorporating patient safety protocols into obstetric practices in New York and how effective it might be in lowering the med mal insurance rates for obstetricians. It also recommends caps on pain and suffering damages as another means to help lower New York med mal insurance rates. We here at MyMedicalMalpracticeInsurance.com hope to see significant reform for all New York physicians soon.

Would you like to lower the cost of your New York liability policy? To see if we can, complete our free, no-obligation quote form today.

Patient safety? Tort reform? Both.
By Howard Minkoff
From TimesUnion.com
Published 12:01 a.m., Sunday, April 17, 2011

OB/GYN holding babyIn the recent debate about medical malpractice in New York, there is one point on which all parties agree: Enhanced patient safety must be part of the solution.

The Times Union recently cited a study out of New York-Presbyterian Hospital-Weill Cornell Medical Center that reported decreasing malpractice premiums when obstetric safety initiatives were implemented (“State gets new bill,” April 4). Some commentators have suggested that malpractice reform would be unnecessary if such safety protocols were adopted by all hospitals.

The entire article can be found here.