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EFM Case Study #9: Verbal Communication (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.

Original Release Date: July 21, 2016
Review Date: January 21, 2019
Expiration Date: July 21, 2019

Description: Miscommunication is a primary root cause of perinatal injury and death. Current evidence links miscommunication to 56% of sentinel events and an increase in medical-legal malpractice claims. Since 2005, national professional and patient safety organizations endorse and support the use of standardized EFM terminology in an effort to limit EFM communication errors. Unfortunately, universal adoption in clinical practice remains to be seen. A key component to miscommunication of EFM data is the inconsistent or improper use of the NICHD terms and guidelines, 3-Tier FHR Category System, and the current ACOG intrapartum management algorithms. This monograph outlines various verbal communication errors in three EFM case studies; analysis and critical thinking drills help the learner improve EFM communication.

Learning Objectives: Upon completion, participants should be able to
1) Use the 7 Cs plus a call-to-action + 3 Cs to send and receive EFM information and limit
    non-verbal and verbal cues that block the flow of clear communication.
2) Critique three EFM case studies and apply the NICHD terms and guidelines, NICHD 3 Tier
    FHR Interpretation System, and the ACOG Intrapartum Management algorithms in the
    communication of EFM data during clinical care.
3) Utilize a handoff tool to improve organization and dissemination of EFM data while limiting
     patient harm and medical-legal malpractice claims.

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

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

Bibliography: To view and download References & Resources for this presentation, please select the References tab/link below.

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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