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Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.

Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Research Abstract Details 

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  • Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Abstract Text:

    In a health care delivery system with an annual delivery rate of approximately 220,000, a comprehensive redesign of patient safety process was undertaken based on the following principles: (1) uniform processes and procedure result in an improved quality; (2) every member of the obstetric team should be required to halt any process that is deemed to be dangerous; (3) cesarean delivery is best viewed as a process alternative, not an outcome or quality endpoint; (4) malpractice loss is best avoided by reduction in adverse outcomes and the development of unambiguous practice guidelines; and (5) effective peer review is essential to quality medical practice yet may be impossible to achieve at a local level in some departments. Since the inception of this program, we have seen improvements in patient outcomes, a dramatic decline in litigation claims, and a reduction in the primary cesarean delivery rate.

    Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Publishing Authors By Initials

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    PUBMED ID PMID:

    MEDLINE DATE:

    Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: American journal of obstetrics and gynecology

    VOLUME: 199

    Page Numbers: 105.e1-7

    Journal Abbreviation: Am. J. Obstet. Gynecol.

    ISSN: 1097-6868

    DAY: 12

    MONTH: 05

    YEAR: 2008

    Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Information

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    LANGUAGE: eng

    NlmUniqueID: 370476

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    Grant and Affiliation Information for Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety.

    AFFILIATION: Hospital Corporation of America, Nashville, TN, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Am J Obstet Gynecol

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