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EFM Case Study #10: Category II FHR Management (1 hour Monograph)

Hours: 1.00

Best suited for:  Obstetricians and family practice physicians. Midwives, obstetric nurse practitioners, residents and other interested healthcare practitioners skilled in EFM and EFM stakeholders are also welcome to participate.

The most frequent OB malpractice allegation, delay in the treatment of fetal distress, involves interpretation and management errors of fetal heart rate patterns (FHR). Category II is the largest category with over 128 various FHR patterns and is the most challenging to manage. This monograph compares the 2013 expert clinical opinion recommendations with the current ACOG guidelines and offers risk management solutions. EFM Case studies and critical thinking drills are included to improve clinical decision making and reduce claims in this challenging population.

Learning Objectives: Upon completion, participants should be able to

1) Assess baseline knowledge of management of Category II FHR patterns through completion
    of critical thinking drills.
2) Critique the NICHD 3-Tier FHR Interpretation System, ACOG FHR intrapartum management
    algorithm, and a new proposal for the specific management of Category II FHR patterns.
3) Implement risk management solutions that increase your interpretation and management of
    Category II FHR patterns at highest risk for fetal acidemia and injury.

Learning Assessment: There will be a post test for this activity with a minimum performance requirement of 8 out of 10 correct answers.

Original Release Date: December 9, 2016
Review Date: June 9, 2019
Expiration Date: December 9, 2019

Estimated time to complete activity: 1 hour

Residents will earn a certificate of completion. Physicians will earn CME credit. 

CME Information - Read

Method and Medium: To obtain CME credit, view the entire online presentation, complete the evaluation and post test and print your certificate online.

CME Credit: 1.0

State Requirements: Based on information from state licensing authorities published by the AMA, this program meets specific CME requirements for the following states:
Connecticut - This activity includes content in Risk Management
Massachusetts - This activity includes content in Risk Management
Pennsylvania - This activity includes content in Risk Management / Patient Safety
Texas - This activity includes content in Ethics and/or Professional Responsibility

CME Disclosure Policy: LAMMICO requires planners, speakers, faculty and all those who influence the content of a CME activity to disclose any financial relationships they have with commercial interests that are relevant to the CME activity. The disclosures shall be reviewed for any conflict of interest and subject to a mechanism for resolution of conflict of interest. A disclosure statement of relevant financial relationships will be made to the audience prior to the activity.

Disclosure: The author, editors and planning committee members for this activity have no relevant financial relationships to disclose.

About the Authors: Dr. Kenneth Brown - Read Bio and Carol A. Curran RNC, MS, OGNP - Read Bio

Managing Editor: Dawer Azizi, MHA, CPHRM, LAMMICO Director of Risk Management

Editor: Sharon Cusanza, MSN, RN, NEA-BC, LAMMICO Senior Risk Management Education Specialist

Content Advisors/Planning Committee Members - Read

Electronic Hardware and Software Requirements - Read

Web Master Contact Information: For assistance, contact Shea Ivey at 866/398-1038 or help@medicalinteractive.com

Disclaimer: This activity is presented as risk management education. It is not legal advice, nor does it establish medical standards of care. Standards of care vary depending on the unique presentation of each patient. The information contained herein is not a substitute for the reasonable discretion of skilled and informed clinicians at the point of care.

Copyright Information: Copyright © 2016

Member and Subscriber Access
Interested in a CME program like this for your team or facility? Contact us to schedule it and talk about pricing.

This course is offered through Experix, a wholly owned subsidiary of Physicians Insurance, and is based on more than 30 years' experience in providing continuing medical education. This course is complimentary for Physicians Insurance members.

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